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<p>For patients with chronic heart failure treatment goals should be defined at an early stage and regularly reassessed. Given the often unpredictable disease trajectory, open and value-oriented communication about the prognosis, treatment burden and expected outcomes of medical measures are essential. The consensus paper emphasizes the importance of structured decision-making within the framework of advance care planning (ACP) and a close interprofessional collaboration between cardiology, primary care, nursing and palliative medicine. Medical, ethical and legal considerations must guide the process, particularly the assessment and respect of the patient’s will. Palliative treatment approaches should be integrated at an early stage in the disease course and not limited to end of life care. Regular re-evaluation of treatment decisions and a clear documentation of individual values, preferences and treatment limits require patient-centered and coherent care. An adaptation of existing reimbursement and care structures is recommended to enable comprehensive, dignified and cross-sectoral support for patients with advanced heart failure.</p>

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Therapiezielfestlegung und -änderung im Verlauf der chronischen Herzinsuffizienz

  • 期刊论文

  • 发表日期：

    2026年1月13日

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  • Mark Weber-Krüger,
  • Moritz Blum,
  • Bernd Alt-Epping,
  • Marc Dittrich,
  • Franz Goss,
  • Tanja Henking,
  • Hashim Abdul-Khaliq,
  • Dorit Knappe,
  • Gerald Neitzke,
  • Christian Perings,
  • Harald Rittger,
  • Henrikje Stanze,
  • Klaus K. Witte,
  • Jochen Dutzmann

摘要

For patients with chronic heart failure treatment goals should be defined at an early stage and regularly reassessed. Given the often unpredictable disease trajectory, open and value-oriented communication about the prognosis, treatment burden and expected outcomes of medical measures are essential. The consensus paper emphasizes the importance of structured decision-making within the framework of advance care planning (ACP) and a close interprofessional collaboration between cardiology, primary care, nursing and palliative medicine. Medical, ethical and legal considerations must guide the process, particularly the assessment and respect of the patient’s will. Palliative treatment approaches should be integrated at an early stage in the disease course and not limited to end of life care. Regular re-evaluation of treatment decisions and a clear documentation of individual values, preferences and treatment limits require patient-centered and coherent care. An adaptation of existing reimbursement and care structures is recommended to enable comprehensive, dignified and cross-sectoral support for patients with advanced heart failure.