Vol. 2 No. 3 (2023): infermieristica journal: your heart, our beat

The role of nurses in the multidisciplinary heart failure team: we are one but we are not the same.

Davide Lazzeroni
Cardiovascular Prevention and Rehabilitation Unit, Fondazione Don Gnocchi, Parma
Laura Riccò
Cardiovascular Prevention and Rehabilitation Unit, Fondazione Don Gnocchi, Parma

Published 2023-10-19


  • Heart failure,
  • Nurse


Nurses play a multifaceted and pivotal role in managing patients with heart failure (HF), their contributions encompass assessment, education, symptom management, and psycho-social support. Teamwork with cardiologists and other healthcare professionals, combined with the integration of e-Health and telemedicine technologies, ensures a comprehensive and coordinated approach to HF management. Every team that treats and monitors patients with HF should invest in training highly specialized nurses since their contribution significantly improve outcomes and patient well-being. The present editorial summarizes the contribution of the nurse's role within the multidisciplinary team of care and management of heart failure patients.


  1. Davis RC, Hobbs FD, Lip GY. ABC of heart failure. History and epidemiology. BMJ. 2000;320:39-42.
  2. Bozkurt B, Coats AJS, Tsutsui H, Abdelhamid CM, Adamopoulos S, Albert N, Anker SD, Atherton J, Böhm M, Butler J, Drazner MH, Felker G, Filippatos G, Fiuzat M, Fonarow GC, Gomez-Mesa JE, Heidenreich P, Imamura T, Jankowska EA, Januzzi J, Khazanie P, Kinugawa K, Lam CSP, Matsue Y, Metra M, Ohtani T, Piepoli M, Ponikowski P, Rosano GMC, Sakata Y, Seferović P, Starling RC, Teerlink JR, Vardeny O, Yamamoto K, Yancy C, Zhang J and Zieroth S. Universal definition and classification of heart failure: a report of the Heart Failure Society of America, Heart Failure Association of the European Society of Cardiology, Japanese Heart Failure Society and Writing Committee of the Universal Definition of Heart Failure. Eur J Heart Fail. 2021;23:352-380.
  3. Hartupee J, Mann D. Neurohormonal activation in heart failure with reduced ejection fraction. Nat Rev Cardiol. 2017;14, 30–38.
  4. Roger VL. Epidemiology of heart failure. Circ Res. 2013;113(6):646–659.
  5. Tromp J, Ouwerkerk W, van Veldhuisen DJ, Hillege HL, Richards AM, van der Meer P, Anand IS, Lam CSP, Voors AA. A Systematic Review and Network Meta-Analysis of Pharmacological Treatment of Heart Failure With Reduced Ejection Fraction. JACC Heart Fail. 2022;10(2):73-84.
  6. Riley JP, Astin F, Crespo-Leiro MG, Deaton CM, Kienhorst J, Lambrinou E, McDonagh TA, Rushton CA, Stromberg A, Filippatos G, Anker SD. Heart Failure Association of the European Society of Cardiology heart failure nurse curriculum. Eur J Heart Fail. 2016;18:736-743.
  7. Van Spall HGC, Rahman T, Mytton O, Ramasundarahettige C, Ibrahim Q, Kabali C, Coppens M, Brian Haynes R, Connolly S. Comparative effectiveness of transitional care services in patients discharged from the hospital with heart failure: a systematic review and network meta-analysis. Eur J Heart Fail. 2017;19:1427–1443.
  8. Blue L, Lang E, McMurray JJ, Davie AP, McDonagh TA, Murdoch DR, Petrie MC, Connolly E, Norrie J, Round CE, Ford I, Morrison CE. Randomised controlled trial of specialist nurse intervention in heart failure. BMJ. 2001;323:715-718.