Heart Failure

  • Sheri L. KoshmanEmail author
  • Lesley C. Beique


Heart failure (HF) is a complex clinical syndrome in which there is a decrease in cardiac output that results in a decrease in its ability to meet the metabolic demands of the body. It is common and often complicated by multiple co-morbidities and polypharmacy. Management is largely driven by multiple medications and hence pharmacists play an important role in caring for these patients. Initiation and titration of medication are key activities when treating patients with HF, as is follow-up and monitoring.


Heart failure Heart failure with reduced ejection fraction Fluid assessment Angiotensin-converting enzyme inhibitors Angiotensin II receptor blockers Beta-blockers Mineralocorticoid receptor blockers Angiotensin II receptor blocker/neprilysin inhibitor Ivabradine Diuretics 


  1. 1.
    2016 Report on the health of Canadians. Heart and Stroke Foundation of Canada.Google Scholar
  2. 2.
    Ezekowitz JA, O’Meara E, McDonald MA, et al. 2017 Comprehensive update of the CCS Guidelines for the management of heart failure. Can J Cardiol. 2017;33(11):1342–433.Google Scholar
  3. 3.
    Yancy CW, Jessup M, Bozkurt B, et al. 2013 ACCF/AHA Guideline for the management if heart failure. J Am Coll Cardiol. 2013;62(16):e147–239.Google Scholar
  4. 4.
    Cheng JW. Current perspectives on the role of the pharmacist in heart failure management. Integr Pharm Res Pract. 2018(7):1–11.Google Scholar
  5. 5.
    Davis EM, Packard KA, Jackevicius CA. The pharmacist role in predicting and improving medication adherence in heart failure patients. J Manag Care Pharm. 2014;20(7):741–55.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.University of Alberta, Division of Cardiology, Faculty of Medicine and DentistryEdmontonCanada
  2. 2.Rockyview General HospitalCalgaryCanada

Personalised recommendations