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Nonadherence in the Advanced Heart Failure Population

  • Nonpharmacologic Therapy: Surgery, Ventricular Assist Devices, Biventricular Pacing, and Exercise (A Hasan, Section Editor)
  • Published:
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Abstract

The number of patients living with heart failure (HF) in the USA now exceeds 5 million. Although HF is a disease readily treated by medications and lifestyle interventions, nonadherence is common, leading to worse clinical outcomes and increased healthcare costs. While adherence to medical therapy and clinician recommendations is key in the management of HF, it is perhaps more critical in patients with the most advanced disease, including those receiving home inotropic infusion, heart transplantation, or a left ventricular assist device. Yet, there is a paucity of data on the effects of nonadherence on the advanced heart failure population and little information on the most effective management strategies in these patients. Future studies of nonadherence in HF should utilize uniform definitions of adherence and, ideally, more objective measurements of adherence such as the novel “digital pill” technology.

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Authors and Affiliations

  1. Emory University School of Medicine, Emory University, 1365 Clifton Road NE, Atlanta, GA, 30322, USA

    Jonathan Gandhi, Andrew McCue & Robert Cole

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  1. Jonathan Gandhi
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  2. Andrew McCue
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  3. Robert Cole
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Correspondence to Robert Cole.

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Jonathan Gandhi, Andrew McCue, and Robert Cole declare that they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Nonpharmacologic Therapy: Surgery, Ventricular Assist Devices, Biventricular Pacing, and Exercise

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Gandhi, J., McCue, A. & Cole, R. Nonadherence in the Advanced Heart Failure Population. Curr Heart Fail Rep 13, 77–85 (2016). https://doi.org/10.1007/s11897-016-0287-7

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  • DOI: https://doi.org/10.1007/s11897-016-0287-7

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