How do you consider and approach transition to hospice in a patient with HFrEF who does not appear to tolerate GDMT?

I approach this situation similarly to any illness that has reached end-stage or is approaching end-stage. First, I determine the patient's goals of care. By this, I mean, what does the patient value? If time is getting short, how do they want to spend their time? Where and with whom? How do they de...

Enrollment in hospice care can be an excellent option for patients with terminal heart failure. Here are several considerations:

1. Hospice Eligibility - Patient must have terminal heart failure with symptoms (e.g., shortness of breath), hypoxemia, hypotension, weight loss, or arrhythmias. Death is li...

This is the ideal trigger to explore LVAD/OHT options, hospice comes into the discussion, age is preclusive, evidence of multi-organ failure, or patient-specific directives.