Strategies for Optimizing Heart Failure Care in the Older Adult: A Scientific Statement From the American Heart Association.

Guideline-directed heart failure therapies show consistent treatment effects and safety profiles in adults aged ≥65 years, but older adults face access and navigation barriers that limit use.

• Why it matters: Heart failure prevalence is rising with a disproportionate burden in older adults, who may encounter challenges that reduce uptake of disease-modifying, guideline-directed care.
• What they did: The statement reviews literature on optimizing care for patients ≥65 years with heart failure, emphasizing shared decision-making and a structured framework that accounts for multimorbidity, polypharmacy, frailty, and social needs.
• The result: It provides clinician and health-system strategies, including implementation and supportive tools, to deliver patient-centered, evidence-based care and improve outcomes while reducing heart-failure morbidity in older adults.

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