Review articlesHeart failure therapy: beyond the guidelinesThompson, Keith A; Bharadwaj, Parag; Philip, Kiran J; Schwarz, Ernst RAuthor Information Cedars Sinai Heart Institute, Cedars Sinai Medical Center, Los Angeles, California, USA Received 6 February, 2010 Revised 24 April, 2010 Accepted 15 June, 2010 Correspondence to Ernst R. Schwarz, MD, PhD, Division of Cardiology, Cedars Sinai Medical Center, 8700 Beverly Blvd., Suite 6215, Los Angeles, CA 90048, USA Tel: +1 310 423 1866; fax: +1 310 423 1498; e-mail: [email protected] Journal of Cardiovascular Medicine: December 2010 - Volume 11 - Issue 12 - p 919-927 doi: 10.2459/JCM.0b013e32833d3566 Buy Metrics Abstract Heart failure is a chronic and debilitating disease responsible for high cardiac morbidity and mortality in the world and is associated with over 290 000 deaths in the United States each year. This article reviews palliative care and self-care, which are critical components of heart failure management that are inadequately defined in the current American College of Cardiology/American Heart Association Guidelines for the Diagnosis and Management of Heart Failure. Palliative care describes a multidisciplinary approach to the treatment of heart failure therapy that addresses both the symptomatic and psychosocial aspects of the disease. Self-care aims to maintain disease stability and prevent clinical decline through a variety of patient-based behavioral and lifestyle modifications. © 2010 Italian Federation of Cardiology. All rights reserved.