A manifesto of collaborative longitudinal cardiovascular care in heart failure
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A manifesto of collaborative longitudinal cardiovascular care in heart failure Anuradha Lala 1,2 & Ashwin K. Ravichandran 3 & Christopher V. Chien 4 & Arthur R. Garan 5 & Benjamin D’Souza 6 & Michael Z. Tong 7 & Ajay Srivastava 8 & Jared J Herr 9 & Dale Yoo 10 & Robert T. Cole 11 & Farooq H. Sheikh 12 & Travis Abicht 13 & Navin Kapur 14 & Scott Silvestry 15 & Paolo C. Colombo 16 & IDEAL-HF Accepted: 31 August 2020 / Published online: 6 October 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract In this document, we outline the challenges faced by patients and clinicians in heart failure, specifically centered around the needed coordination of care among the various subspecialties within cardiovascular medicine. We call for a more organized and collaborative effort among clinicians in primary care, general cardiology, electrophysiology, interventional cardiology, cardiothoracic surgery, cardiac imaging, and heart failure—all caring for mutual patients. Care is contextualized within the framework of two phases: a cardiomyopathy phase and an advanced heart failure phase, each of which lends to different considerations in therapy. Ultimately multidisciplinary coordinated care within cardiovascular medicine may lead to greater patient and clinician satisfaction as well as improved outcomes, but this remains to be investigated. Keywords Cardiovascular medicine . Heart failure . Cardiomyopathy . Advanced therapies . Multidisciplinary
Introduction
Man, that inveterate dreamer… ~ Andre Breton Manifesto of Surrealism, 1924
Andre Breton’s Manifesto of Surrealism inspires to go beyond the “imperative practical necessity” of everyday * Anuradha Lala [email protected] 1
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Zena and Michael A. Wiener Cardiovascular Institute, Mount Sinai, New York, USA Department of Population Health Science, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, Box 1030, New York, NY 10029, USA
reality to the perception of a higher realm. By freeing the mind from established constructs, we are unlimited in the design of an ideal model and effect a paradigm shift. Heart failure (HF) is a worldwide epidemic of growing proportions with 26 million affected in an increasing aging population. Acute decompensation of HF is the most common cause of hospitalization in the USA and in Europe, accounting for over 1 million admissions respectively [1]. While guideline-directed medical therapy (GDMT) and devicebased therapies have significantly improved symptoms and 8
Scripps, La Jolla, USA
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Sutter Health, California Pacific Medical Center, San Francisco, USA
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Medical City McKinney, McKinney, USA
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Emory Health Care, Atlanta, USA
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Medstar Heart and Vascular Institute, Georgetown University, Washington, D.C., USA
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St. Vincent Heart Center, Indianapolis, USA
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University of North Carolina Rex Healthcare, Raleigh, NC, USA
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University of Kansas Health System, Kansas City, USA
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Beth Israel Deaconess Hospital, Boston, USA
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Tufts Medical Center, Boston, USA
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Hospital of University of
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