A manifesto of collaborative longitudinal cardiovascular care in heart failure

Anuradha Lala; Ashwin K Ravichandran; Christopher V Chien; Arthur R Garan; Benjamin D'Souza; Michael Z Tong; Ajay Srivastava; Jared J Herr; Dale Yoo; Robert T Cole; Farooq H Sheikh; Travis Abicht; Navin Kapur; Scott Silvestry; Paolo C Colombo; IDEAL-HF

doi:10.1007/s10741-020-10025-1

A manifesto of collaborative longitudinal cardiovascular care in heart failure

Heart Fail Rev. 2020 Nov;25(6):1089-1097. doi: 10.1007/s10741-020-10025-1. Epub 2020 Oct 6.

Authors

Anuradha Lala^{1

2}, Ashwin K Ravichandran³, Christopher V Chien⁴, Arthur R Garan⁵, Benjamin D'Souza⁶, Michael Z Tong⁷, Ajay Srivastava⁸, Jared J Herr⁹, Dale Yoo¹⁰, Robert T Cole¹¹, Farooq H Sheikh¹², Travis Abicht¹³, Navin Kapur¹⁴, Scott Silvestry¹⁵, Paolo C Colombo¹⁶; IDEAL-HF

Affiliations

¹ Zena and Michael A. Wiener Cardiovascular Institute, Mount Sinai, New York, USA. [email protected].
² Department of Population Health Science, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, Box 1030, New York, NY, 10029, USA. [email protected].
³ St. Vincent Heart Center, Indianapolis, USA.
⁴ University of North Carolina Rex Healthcare, Raleigh, NC, USA.
⁵ Beth Israel Deaconess Hospital, Boston, USA.
⁶ Hospital of University of Pennsylvania, Philadelphia, USA.
⁷ Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, USA.
⁸ Scripps, La Jolla, USA.
⁹ Sutter Health, California Pacific Medical Center, San Francisco, USA.
¹⁰ Medical City McKinney, McKinney, USA.
¹¹ Emory Health Care, Atlanta, USA.
¹² Medstar Heart and Vascular Institute, Georgetown University, Washington, D.C., USA.
¹³ University of Kansas Health System, Kansas City, USA.
¹⁴ Tufts Medical Center, Boston, USA.
¹⁵ Florida Hospital, Orlando, USA.
¹⁶ Columbia University Irving Medical Center, New York, USA.

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: Advanced therapies; Cardiomyopathy; Cardiovascular medicine; Heart failure; Multidisciplinary.

Publication types

Editorial

MeSH terms

Cardiac Imaging Techniques*
Cardiology / methods*
Disease Management*
Heart Failure / diagnosis*
Heart Failure / therapy
Humans
Primary Health Care / methods*