Implementing patient-centered palliative care may help improve quality of life for people with heart disease

American Heart AssociationJul 1 2024 Implementing patient-centered palliative care therapies, including prescribing, adjusting or discontinuing medications as needed, may help control symptoms and improve quality of life for people with heart disease, according to "Palliative Pharmacotherapy for Cardiovascular Disease," a new scientific statement from the American Heart Association, published today in the Association's journal, Circulation: Cardiovascular Quality and Outcomes.

Palliative care complements standard cardiovascular care by reducing physical symptoms, managing emotional distress and assisting patients in making decisions that coincide with their goals of care. A palliative approach can be integrated into the medication management of patients at any stage of heart disease, from chronic, stable heart disease to advanced and end-stage cardiovascular disease.

It is critical for patients to be fully informed about their diagnosis and how medication management may change throughout the disease progression so they have ample time to set and share their goals. These goals often include reducing symptoms such as shortness of breath, fatigue, and pain as well as improving sleep, mood and appetite."

"Given the complexities of medication management in people with heart disease, a team-based approach is urged. Collaboration between multidisciplinary clinicians across primary care, cardiology and palliative care is needed to deliver effective, person-centered care," said Di Palo. "Deprescribing that targets medications with limited benefit or increased risk of adverse events can be done safely with patient permission," Di Palo said.

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