Polypharmacy in Older People With Heart Failure: Roles of the Geriatrician and Pharmacist

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Stefil, M, Dixon, M, Bahar, J, Saied, S, Mashida, K, Heron, O ORCID: 0000-0001-8688-131X, Shantsila, E ORCID: 0000-0002-2429-6980, Walker, L ORCID: 0000-0002-3827-4387, Akpan, A ORCID: 0000-0002-1764-8669, Lip, GYH ORCID: 0000-0002-7566-1626 et al (show 1 more authors) and Sankaranarayanan, R ORCID: 0000-0003-2355-2011 (2022) Polypharmacy in Older People With Heart Failure: Roles of the Geriatrician and Pharmacist Cardiac Failure Review, 8. e34-. ISSN 2057-7540, 2057-7559

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Abstract

Heart failure (HF) is a common health condition that typically affects older adults. Many people with HF are cared for on an inpatient basis, by noncardiologists, such as acute medical physicians, geriatricians and other physicians. Treatment options for HF are ever increasing, and adherence to guidelines for prognostic therapy contributes to polypharmacy, which is very familiar to clinicians who care for older people. This article explores the recent trials in both HF with reduced ejection fraction and HF with preserved ejection fraction and the limitations of international guidance in their management with respect to older people. In addition, this article discusses the challenge of managing polypharmacy in those with advanced age, and the importance of involving a geriatrician and pharmacist in the HF multidisciplinary team to provide a holistic and person-centred approach to optimisation of HF therapies.

Item Type:	Article
Uncontrolled Keywords:	Heart failure, geriatrician, older people, pharmacist, polypharmacy
Divisions:	Faculty of Health & Life Sciences Faculty of Health & Life Sciences > Inst. Life Courses & Medical Sciences Faculty of Health & Life Sciences > Inst. Population Health Faculty of Health & Life Sciences > Inst. Systems, Molec & Integrative Biology > Inst. Systems, Molec & Integrative Biology
Depositing User:	Symplectic Admin
Date Deposited:	04 Apr 2023 14:38
Last Modified:	23 Jan 2026 18:20
DOI:	10.15420/cfr.2022.14
Related Websites:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3169426
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