Polypharmacy is common in cardiovascular care because guideline-directed treatment often requires multiple medications across coexisting conditions and comorbidities, increasing medication burden. professional.heart.org/en/sc… Deprescribing is a proactive, patient-centered strategy to reduce medication burden and can be effective not only after adverse drug events, but also when polypharmacy, prescribing cascades, poor adherence, or changing goals of care warrant reassessment. Safe deprescribing requires a structured, multidisciplinary approach that uses systematic review tools, shared decision-making, careful tapering, and close follow-up to align treatment with patient goals while minimizing adverse events. ✍🏼 @robdeedo @adambress @quin_denfeld @PaulDobesh @ParagGoyalMD

Heart failure (HF) in older adults is a growing and distinct clinical challenge, yet proven therapies—especially guideline-directed medical therapy (GDMT)—remain underused despite evidence that older patients can benefit. The paper advocates a practical, multidimensional care model that includes domain-based assessment, deprescribing when appropriate, early advance care planning, specialist/palliative care referral, and system-level tools to improve equitable implementation of GDMT. ✍🏼 @hvanspall @tremartyn @docsabe @vbluml @quin_denfeld @ShannonMDunlay @ParagGoyalMD @ShannonHalloway @orlyvardeny

Published today, Strategies for Optimizing Heart Failure Care in the Older Adult A Scientific Statement from the American Heart Association. Using a “domain management framework” provides a structured approach to optimizing HF care in older adults, incorporating medical, cognitive, physical, and social factors into a multidisciplinary approach. 📷 Domain-based strategies to optimize care in the older adult with heart failure. ✍🏼 @hvanspall @tremartyn @docsabe @vbluml @quin_denfeld @ShannonMDunlay @ParagGoyalMD @ShannonHalloway @orlyvardeny

🆕 AHA statement published on The Role of Primary Care in Achieving Life’s Essential 8. ✍🏼 @mad_sters @ErinFerranti @nmoise_md @randi_epi @spjuraschek @chanders4 @JeremySussman @p_stlaurent 📷 : Actions and evidence-based strategies to promote Life’s Essential 8 in primary care