ABC Heart Fail Cardiomyop 2022; 2(1): 123-125
Implementation of Home Use of Continuous Intravenous Inotrope as Palliative Therapy for a Patient with Advanced Heart Failure within the Brazilian Unified Health System: a Case Report
Ana Paula Chedid Mendes
, Rita Zambonato, Laura C. T. Hastenteufel
, Letícia Orlandin, Nadine Clausell
, Livia Adams Goldraich
Introduction
Contemporary evidence-based treatment has modified the natural history of heart failure (HF). Nevertheless, with the current aging of the population with HF and the elevated number of comorbidities, there is a large proportion of individuals who are ineligible for advanced therapies and who could potentially benefit from palliative care. Accordingly, strategies for relieving symptoms and improving quality of life are being prioritized over interventions that aim for medium- and long-term outcomes. For a subgroup of patients with advanced HF receiving palliative care, home therapy with continuous inotropes may be considered and integrated into general palliative care.
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Keywords: Dobutamine; Heart Failure; Home Care Services; Milrinone; Palliative Care
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