Table 28. Surgical/Percutaneous/Transcatheter
Interventions in Patients With HF
Appropriate Guideline-Directed Surgical/Percutaneous/Transcatheter Interventions
for HF
Surgical or percutaneous revascularization
Surgical or transcatheter aortic valve replacement
Surgical myomectomy or alcohol ablation for hypertrophic cardiomyopathy
Nondurable MCS for cardiogenic shock
Durable MCS for advanced HF
Heart transplantation
Surgical/electrophysiological ablation of ventricular tachycardia
Surgical/Percutaneous/Transcatheter Interventions Under Evaluation in Patients
With HF
Transcatheter intervention for functional mitral insufficiency
LA resection/LA appendage removal, surgical or percutaneous, for AF
MCS for advanced HF as a bridge to recovery
Coordinating Care for Patients With Chronic HF
ÎÎEffective systems of care coordination with special attention to care
transitions should be deployed for every patient with chronic HF that
facilitate and ensure effective care that is designed to achieve GDMT
and prevent hospitalization. (I-B)
ÎÎEvery patient with HF should have a clear, detailed, and evidencebased plan of care that ensures the achievement of GDMT goals,
effective management of comorbid conditions, timely follow-up with
the healthcare team, appropriate dietary and physical activities, and
compliance with secondary prevention guidelines for cardiovascular
disease. This plan of care should be updated regularly and made readily
available to all members of each patient's healthcare team. (I-C)
ÎÎPalliative and supportive care is effective for patients with
symptomatic advanced HF to improve quality of life. (I-B)
Quality Metrics/Performance Measures
ÎÎPerformance measures based on professionally developed clinical
practice guidelines should be used with the goal of improving quality
of care for HF. (I-B)
ÎÎParticipation in quality improvement programs and patient registries
based on nationally endorsed, clinical practice guideline–based
quality and performance measures can be beneficial in improving
quality of HF care. (IIa-B)
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