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How Medicine Has Changed the End of Life for Patients With Cardiovascular Disease.

Publication ,  Journal Article
Warraich, HJ; Hernandez, AF; Allen, LA
Published in: J Am Coll Cardiol
September 5, 2017

Advances in medicine have changed how patients experience the end of life. With longer life spans, there has also been an increase in years lived with disability. The clustering of illnesses in the last years of life is particularly pronounced in patients with cardiovascular disease. At the end of life, patients with cardiovascular disease are more symptomatic, less likely to die at home, and less likely to receive high-quality palliative care. Social determinants have created widening disparities in end-of-life care. The increasing complexity and duration of care have resulted in an epidemic of caregiver burden. Modern medical care has also resulted in new ethical challenges, for example, those related to deactivation of cardiac devices, such as pacemakers, defibrillators, and mechanical circulatory support. Recommendations to improve end-of-life care for patients with cardiovascular disease include optimizing metrics to assess quality, ameliorating disparities, enhancing education and research in palliative care, overcoming disparities, and innovating palliative care delivery and reimbursement.

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Published In

J Am Coll Cardiol

DOI

EISSN

1558-3597

Publication Date

September 5, 2017

Volume

70

Issue

10

Start / End Page

1276 / 1289

Location

United States

Related Subject Headings

  • Palliative Care
  • Humans
  • Hospice Care
  • Cardiovascular System & Hematology
  • Cardiovascular Diseases
  • Biomedical Research
  • 3201 Cardiovascular medicine and haematology
  • 1117 Public Health and Health Services
  • 1102 Cardiorespiratory Medicine and Haematology
 

Citation

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MLA
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Warraich, H. J., Hernandez, A. F., & Allen, L. A. (2017). How Medicine Has Changed the End of Life for Patients With Cardiovascular Disease. J Am Coll Cardiol, 70(10), 1276–1289. https://doi.org/10.1016/j.jacc.2017.07.735
Warraich, Haider J., Adrian F. Hernandez, and Larry A. Allen. “How Medicine Has Changed the End of Life for Patients With Cardiovascular Disease.J Am Coll Cardiol 70, no. 10 (September 5, 2017): 1276–89. https://doi.org/10.1016/j.jacc.2017.07.735.
Warraich HJ, Hernandez AF, Allen LA. How Medicine Has Changed the End of Life for Patients With Cardiovascular Disease. J Am Coll Cardiol. 2017 Sep 5;70(10):1276–89.
Warraich, Haider J., et al. “How Medicine Has Changed the End of Life for Patients With Cardiovascular Disease.J Am Coll Cardiol, vol. 70, no. 10, Sept. 2017, pp. 1276–89. Pubmed, doi:10.1016/j.jacc.2017.07.735.
Warraich HJ, Hernandez AF, Allen LA. How Medicine Has Changed the End of Life for Patients With Cardiovascular Disease. J Am Coll Cardiol. 2017 Sep 5;70(10):1276–1289.
Journal cover image

Published In

J Am Coll Cardiol

DOI

EISSN

1558-3597

Publication Date

September 5, 2017

Volume

70

Issue

10

Start / End Page

1276 / 1289

Location

United States

Related Subject Headings

  • Palliative Care
  • Humans
  • Hospice Care
  • Cardiovascular System & Hematology
  • Cardiovascular Diseases
  • Biomedical Research
  • 3201 Cardiovascular medicine and haematology
  • 1117 Public Health and Health Services
  • 1102 Cardiorespiratory Medicine and Haematology