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VIEWPOINT

Heart failure training

A call for an integrative, patient-focused approach to an emerging cardiology subspecialty

Division of Cardiology, Department of Medicine, Tufts–New England Medical Center, Boston, Massachusetts

Manuscript received June 1, 2004; accepted June 9, 2004.

^* Reprint requests and correspondence: Dr. Marvin A. Konstam, Division of Cardiology, Box 108, Tufts–New England Medical Center, 750 Washington Street, Boston, Massachusetts 02111 (Email: Mkonstam{at}tufts-nemc.org).

The coming years will see continued growth in the epidemic of heart failure (HF) and increasingly complex pharmacologic, interventional, and device-based therapies, effective in reducing HF morbidity and mortality. Highly trained clinician-specialists are needed to assist in optimally evaluating and managing patients with HF. The patient is the central element defining the skills needed within this cardiology subspecialty. Primary care education, disease management strategies, and effective communication among HF specialists and other clinicians are key systemic elements needed to deliver the increasingly complex array of treatments to the expanding population of patients with HF.

Abbreviations and Acronyms   ACC = American College of Cardiology   HF = heart failure   HFSA = Heart Failure Society of America   ICD = implantable cardiac-defibrillator

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