title: Comprehensive therapeutic approach for patients with heart failure and comorbidity.
abstract: The prevalence of heart failure increases with age and is accompanied by other diseases, which are encompassed within a «cardiometabolic phenotype». Their interrelation changes the evolution and treatment that each disease would have in isolation. Patients with heart failure and comorbidity are frail and complex. They require a comprehensive assessment (not just biomedical), which includes functional, cognitive, affective and psychosocial aspects. The overall treatment, which is not covered in the clinical practice guidelines, should adapt to each and every one of the comorbidities. Polypharmacy should be avoided as much as possible, due to its interactions and reduced adherence. Treatment needs to be optimised and adapted to the evolutionary phase of the disease and the specific needs of each patient. The complexity of the care process for patients with heart failure and comorbidities requires the coordination of healthcare providers and support from family and others involved in the patient's care.
authors.affiliation: Servicio de Medicina Interna, Hospital Clínico Universitario Lozano Blesa, Instituto de Investigación Sanitaria de Aragón, Zaragoza, España. Electronic address: fruizl@unizar.es.
authors.forename: F J
authors.initials: FJ
authors.lastname: Ruiz-Laiglesia
authors.affiliation: Servicio de Medicina Interna, Hospital Clínico Universitario Lozano Blesa, Instituto de Investigación Sanitaria de Aragón, Zaragoza, España.
authors.forename: V
authors.initials: V
authors.lastname: Garcés-Horna
authors.affiliation: Departamento de Medicina Interna, Hospital Universitario de Bellvitge. Instituto de Investigación Biomédica de Bellvitge, Hospitalet de Llobregat, Barcelona, España.
authors.forename: F
authors.initials: F
authors.lastname: Formiga
keywords: Comorbidity; Comorbilidad; Heart failure; Insuficiencia cardíaca; Tratamiento; Treatment