Die mannigfachen Erscheinungsbilder der Herzinsuffizienz führten zu komplexen Behandlungsleitlinien und Versorgungsszenarien und erfordern deshalb immer einen integrierten, multidisziplinären Versorgungsansatz. Die stetige Entwicklung der diagnostischen Möglichkeiten und Therapieoptionen muss konsequent in die Versorgung implementiert werden und erfordert eine gute Zusammenarbeit zwischen den ärztlichen und pflegenden Fachgruppen.
Abstract
The diverse manifestations of heart failure led to complex treatment guidelines and care scenarios and therefore always require an integrated, multidisciplinary care approach. Patients with chronic heart failure suffer from a large number of cardiac and noncardiac comorbidities. For example, iron deficiency leads to decreased performance and exertional dyspnea and should be diagnosed. Psychological screening questionnaires should be used for the early detection of psychological comorbidities.
ARNI and SGLT-inhibitors expand the pharmacotherapeutic possibilities and gain in importance. The constant development of diagnostic possibilities and therapeutic options must be implemented consistently into the care continuum in order to have a lasting effect. The challenge of interdisciplinary coordination can be significantly reduced through jointly agreed process logs (e. g. within the framework of integrated supply contracts or a Heart Failure Unit Network).
Schlüsselwörter
chronische Herzinsuffizienz - Komorbidität - Eisenmangel - Psyche - ARNI - SGLT2-Inhibitor - interdisziplinär
Key words
chronic heart failure - comorbidity - iron deficiency - psyche - ARNI - SGLT2 inhibitor - interdisciplinary
