Table 2.

Considerations for virtual heart failure management

Continue all current therapy, including renin-angiotensin-aldosterone system blockers

Do not delay initiation or up-titration of life-saving therapy. This might be critical for individual patient- and system-level outcomes

Fill prescriptions digitally. This might mean a change in practice, but is absolutely necessary to minimize touch points with the health care system

Defer imaging studies where feasible and “choose wisely”

Look closely at the laboratory tests you order—are they really needed or nice to have?

Address and/or update goals of care status for all patients

Conduct visits virtually using existing resources and infrastructure. Specifically avoid the default of sending someone to the emergency room if possible