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Guidance for Timely and Appropriate Referral of Patients With Advanced Heart Failure: A Scientific Statement From the American Heart Association.

Publication ,  Journal Article
Morris, AA; Khazanie, P; Drazner, MH; Albert, NM; Breathett, K; Cooper, LB; Eisen, HJ; O'Gara, P; Russell, SD; and Council on Hypertension, ...
Published in: Circulation
October 12, 2021

Among the estimated 6.2 million Americans living with heart failure (HF), ≈5%/y may progress to advanced, or stage D, disease. Advanced HF has a high morbidity and mortality, such that early recognition of this condition is important to optimize care. Delayed referral or lack of referral in patients who are likely to derive benefit from an advanced HF evaluation can have important adverse consequences for patients and their families. A 2-step process can be used by practitioners when considering referral of a patient with advanced HF for consideration of advanced therapies, focused on recognizing the clinical clues associated with stage D HF and assessing potential benefits of referral to an advanced HF center. Although patients are often referred to an advanced HF center to undergo evaluation for advanced therapies such as heart transplantation or implantation of a left ventricular assist device, there are other reasons to refer, including access to the infrastructure and multidisciplinary team of the advanced HF center that offers a broad range of expertise. The intent of this statement is to provide a framework for practitioners and health systems to help identify and refer patients with HF who are most likely to derive benefit from referral to an advanced HF center.

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Published In

Circulation

DOI

EISSN

1524-4539

Publication Date

October 12, 2021

Volume

144

Issue

15

Start / End Page

e238 / e250

Location

United States

Related Subject Headings

  • United States
  • Time Factors
  • Referral and Consultation
  • Humans
  • Heart Failure
  • Guidelines as Topic
  • Cardiovascular System & Hematology
  • American Heart Association
  • 4207 Sports science and exercise
  • 3202 Clinical sciences
 

Citation

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Chicago
ICMJE
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Morris, A. A., Khazanie, P., Drazner, M. H., Albert, N. M., Breathett, K., Cooper, L. B., … American Heart Association Heart Failure and Transplantation Committee of the Council on Clinical Cardiology; Council on Arteriosclerosis, Thrombosis and Vascular Biology; Council on Cardiovascular Radiology and Intervention; and Council on Hypertension, . (2021). Guidance for Timely and Appropriate Referral of Patients With Advanced Heart Failure: A Scientific Statement From the American Heart Association. Circulation, 144(15), e238–e250. https://doi.org/10.1161/CIR.0000000000001016
Morris, Alanna A., Prateeti Khazanie, Mark H. Drazner, Nancy M. Albert, Khadijah Breathett, Lauren B. Cooper, Howard J. Eisen, Patrick O’Gara, Stuart D. Russell, and Stuart D. American Heart Association Heart Failure and Transplantation Committee of the Council on Clinical Cardiology; Council on Arteriosclerosis, Thrombosis and Vascular Biology; Council on Cardiovascular Radiology and Intervention; and Council on Hypertension. “Guidance for Timely and Appropriate Referral of Patients With Advanced Heart Failure: A Scientific Statement From the American Heart Association.Circulation 144, no. 15 (October 12, 2021): e238–50. https://doi.org/10.1161/CIR.0000000000001016.
Morris AA, Khazanie P, Drazner MH, Albert NM, Breathett K, Cooper LB, et al. Guidance for Timely and Appropriate Referral of Patients With Advanced Heart Failure: A Scientific Statement From the American Heart Association. Circulation. 2021 Oct 12;144(15):e238–50.
Morris, Alanna A., et al. “Guidance for Timely and Appropriate Referral of Patients With Advanced Heart Failure: A Scientific Statement From the American Heart Association.Circulation, vol. 144, no. 15, Oct. 2021, pp. e238–50. Pubmed, doi:10.1161/CIR.0000000000001016.
Morris AA, Khazanie P, Drazner MH, Albert NM, Breathett K, Cooper LB, Eisen HJ, O’Gara P, Russell SD, American Heart Association Heart Failure and Transplantation Committee of the Council on Clinical Cardiology; Council on Arteriosclerosis, Thrombosis and Vascular Biology; Council on Cardiovascular Radiology and Intervention; and Council on Hypertension. Guidance for Timely and Appropriate Referral of Patients With Advanced Heart Failure: A Scientific Statement From the American Heart Association. Circulation. 2021 Oct 12;144(15):e238–e250.

Published In

Circulation

DOI

EISSN

1524-4539

Publication Date

October 12, 2021

Volume

144

Issue

15

Start / End Page

e238 / e250

Location

United States

Related Subject Headings

  • United States
  • Time Factors
  • Referral and Consultation
  • Humans
  • Heart Failure
  • Guidelines as Topic
  • Cardiovascular System & Hematology
  • American Heart Association
  • 4207 Sports science and exercise
  • 3202 Clinical sciences