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End Stage Cardiovascular Disease

May 04, 2010

Patients are considered to be in the terminal stages of heart disease if the following criteria are met.

1.   Patient is being optimally treated for heart disease, is not a candidate for surgical  intervention or declines surgical intervention

2. Patient is classified as NYHA Class IV

Other factors that may support hospice eligibility include:

  • Ejection fraction < 20%
  • History of brain embolism of cardiac origin
  • Concomitant HIV disease
  • History of unexplained syncope
  • Treatment resistant symptomatic supraventricular tachycardia or ventricular arrhythmias
  • History of cardiac arrest or resuscitation

Considerations: If the patient does not meet the above referenced guidelines, they may still qualify; consider the present underlying illness(es) / co-morbidites that may affect the terminality of the patient's condition.  Call Hospice Care of Kansas for a consultation.

316-559-2049

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