Management of End-Stage Heart Failure

Sandhya Murthy, Hannah I. Lipman

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations


The prevalence of heart failure (HF) is increasing and morbidity and mortality remain high. There is a clear need for palliative care for the growing population of chronically ill patients with HF. Because HF-specific therapy modifies disease and palliates symptoms, recommended treatments for chronic and acute decompensated HF are reviewed. This article discusses symptom burden in advanced HF and specific considerations for patients with HF regarding advance care planning and symptom-directed therapy. Options for care at the end of life, including hospice, chronic inotropic support, and deactivation of an internal cardiac defibrillator, are also discussed.

Original languageEnglish (US)
Pages (from-to)265-276
Number of pages12
JournalPrimary Care - Clinics in Office Practice
Issue number2
StatePublished - Jun 2011


  • End stage
  • Heart failure
  • Management
  • Symptom burden

ASJC Scopus subject areas

  • Pharmacology (medical)


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