COMMENTARY

New Heart Failure Guidelines -- They Just Get Better

Ileana L. Piña, MD, MPH

Disclosures

July 31, 2013

In This Article

The Need for Quality Improvement

Finally, performance measures and the need for quality improvement have now made their way to the guidelines. Given the success of Get With the Guidelines-Heart Failure and the movement to improve quality, the performance measures are clearly stated. At the end, there is a very strong recommendation about coordinated care, the need for team care, and palliative care that we often don't think about. Palliation doesn't necessarily equal hospice. Certain palliative care will allow the patients and their families to make informed decisions, even an informed decision about implantable cardioverter defibrillators (ICDs). Recommendations are to have a conversation with the patient and let them know what the pluses and the minuses are -- the good, the bad, and the ugly about ICDs.

I find these guidelines much more useful, practical, and much more humane. I hope you read them. In my future blogs, I may discuss some of these areas a bit more in depth. I want to thank you again for joining me today. This is Ileana Piña. Have a great day.

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