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. 2025 Feb 26;11:e05. doi: 10.15420/cfr.2024.34

Table 2: Overview of Multidimensional Management Strategies for Frailty in Heart Failure.

Strategies Outcomes
Exercise and Rehabilitation
  • Resistance and aerobics training

  • Cardiac rehabilitation

  • Improves muscle strength and endurance

  • Maximises cardiovascular function and exercise tolerance

  • Reduces inflammation and hospitalisation rates

Multidisciplinary Care
  • Cardiovascular, geriatric and social help

  • Physical therapy

  • Nutritional support

  • Improves care coordination, patient satisfaction and clinical outcomes

  • Mitigates the impact of social isolation and depression

Nutritional Interventions
  • Protein, caloric and vitamin D supplementation

  • Rectifying micronutrient and omega-3 fatty acid deficiencies

  • Intravenous iron therapy

  • Boosts health outcomes, physical function, exercise capacity, quality of life, functional outcomes and overall prognosis

  • Enhances muscle repair

  • Reduces fall risk, frailty severity and hospitalisation rates

Pharmacological Interventions
  • Deprescribing unnecessary medications

  • Targeted pharmacological interventions

  • Regular monitoring of renal parameters and potassium levels

  • Using statins, anti-inflammatory agents, SGLT2 inhibitors and IL-1β inhibitors

  • Minimises drug-related risks

  • Personalises medications to the unique needs of frail patients

  • Reduces inflammation and oxidative stress

  • Lowers patient hospitalisation rates

  • Slows the progression of frailty

  • Enhances quality of life

IL-1β = interleukin-1β; SGLT2 = sodium–glucose cotransporter 2.