Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/25292
Title: Common Comorbidities that Alter Heart Failure Prognosis - shaping new thinking for practice.
Austin Authors: Iyngkaran, Pupalan;Thomas, Merlin;Horowitz, John D;Komesaroff, Paul;Jelinek, Michael;Hare, David L 
Affiliation: Department of Cardiology, Cardiologist (Heart Failure & Cardiac Imaging) Heart West, Adjunct Senior Lecturer, Werribee Mercy Sub School, School of Medicine, Notre Dame University, Notre Dame, Sydney. Australia
Department of Cardiology, University of Adelaide, Adelaide. Australia
Department of Biochemistry, Biochemistry of Diabetes Complications, Monash University, Melbourne. Australia
Cardiology
University of Melbourne, St. Vincent's Hospital, Melbourne. Australia
Department of Endocrinology, Professor of Medicine, Monash University, Melbourne. Australia
Issue Date: 12-Nov-2020
Date: 2020-11-12
Publication information: Current Cardiology Reviews 2021; 17(5): e160721187934
Abstract: At least half of all heart failure (CHF) patients will have a comorbidity that could be undertreated, requires additional speciality input and/or polypharmacy. These patients are then at risk from iatrogenic and disease related complications and readmissions if not closely supervised. Common comorbidities of relevance are cardiorenal and cardiometabolic syndromes (DM, obesity, OSA), chronic airways disease, elderly age and accompanying therapeutic optimisation. The structure of community practice often leaves primary, speciality and allied health care in silos. For example, cardiology speciality training in Australia creates excellent sub-specialists to deliver on the diagnostics and therapeutic advances. A casualty of this process has been gradual alienation of general cardiology towards general internal medical specialists and GP's. The consequences are largely noticed in community practice. The issue are compounded by suboptimal communication of information. This review explores these issues from a cardiology sub-speciality lens, firstly cross speciality areas important for cardiologist to maintain their skill and finally a brief overview of disease management and identifying game changing common denominators such as endothelial dysfunction and self-management.
URI: https://ahro.austin.org.au/austinjspui/handle/1/25292
DOI: 10.2174/1573403X16666201113093548
Journal: Current Cardiology Reviews
PubMed URL: 33185169
Type: Journal Article
Subjects: Comorbidity
cardiometabolic syndrome
cardiovascular disease
congestive heart failure
disease management
metabolically healthy obesity
obesity
obesity paradox
performance markers
process of care
specialisttraining
Appears in Collections:Journal articles

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