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Palliative care for patients with end-stage heart failure

People with heart failure have a poor prognosis (Cleland et al, 1987), and when their condition becomes increasingly unstable it is necessary to change the focus of management. The National Service Framework for Coronary Heart Disease (Department of Health, 2000) identifies the need to ensure that ‘people with unresponsive heart failure and other malignant presentations of coronary heart disease receive appropriate palliative care and support’. It advises providing good symptom control ...

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