For many therapeutic interventions in contemporary cardiovascular medicine, from the
treatment of dyslipidemia to the management of advanced heart failure, the prevailing
wisdom is to enter into a shared decision making conversation with the patient.
1
This very noble consideration is made without sufficient thought given to how a shared
decision making conversation may or may not adequately create a mutual exchange of
ideas and create an environment in which patient preferences, values, and goals are
fully considered. Previous investigators have made clear the role of cognition and
emotions in clinical decision making in various disciplines of medicine but less commonly
do we consider these variables in the care of patients with cardiac diseases, including
those with heart failure.
2
,
3
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Article info
Publication history
Published online: May 22, 2017
Accepted:
May 18,
2017
Received:
May 17,
2017
Identification
Copyright
© 2017 Elsevier Inc. All rights reserved.
