Chapter

Prognostication and disease trajectory

Miriam Johnson, Karen Hogg, James Beattie and Max Watson

in Heart Failure

Published on behalf of Oxford University Press

Published in print May 2012 | ISBN: 9780199299300
Published online July 2012 | e-ISBN: 9780191740787 | DOI: http://dx.doi.org/10.1093/med/9780199299300.003.0026

Series: Oxford Specialist Handbooks

Prognostication and disease trajectory

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The poor prognosis of patients with heart failure is well known and this persists despite the advanced therapeutic heart failure strategies that now exist. Prognostication remains complex aspect of heart failure management. Many factors contribute to this complexity but the unpredictable illness trajectory associated with heart failure especially compared with the illness trajectory associated with cancer is a major issue. The effect is often “prognostic paralysis”. This chapter discusses these issues and also the relevance of prognostic scoring systems in the assessment of the palliative needs of patients with advanced heart failure. This chapter also reviews a prognostic approach compared to a problem-based approach in the management of this patient group.

Chapter.  2192 words.  Illustrated.

Subjects: Palliative Medicine ; Cardiovascular Medicine

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