Heart Failure

Heart Failure (HF) is a common disease affecting approximately 5 million adult Americans.The likelihood of developing HF increases with age and is greater in men. The 5-year mortality rate is remarkably high at 50%, and nearly 300,000 deaths annually are directly attributable to HF. HF creates a significant economic burden on the healthcare system; in 2012, direct medical costs were approximately $21 billion. Despite advances in therapy over the past few decades, the prevalence of HF is expected to rise to over 8 million by 2030.

Role of the Community Practitioner: Approximately 1 out of every 4 patients hospitalized for HF is readmitted within 30 days. Readmission accounts for a significant portion of HF costs and is linked with decreased survival. Pharmacists and nurses can play an important role during transitions of care (eg, from hospital to home) by providing medication reconciliation and patient education, which can help reduce hospital readmissions. Pharmacists in community practice should reinforce discharge instructions through medication counseling and lifestyle modification support.