Study Title: Novel Respiratory Training as Part of Palliative Care for Older Adults With Heart Failure
Inclusion/Exclusion Criteria:
Description

Inclusion Criteria:
Patients with Advanced Heart Failure (HFrEF or HFpEF), with NYHA class II, III, or IV despite a minimum of
6 weeks of treatment
Age >70 years
Male and Female
Optimal therapy according to AHA/ACC and HFSA HF guidelines


Exclusion Criteria:
Patients living in an institutional setting (e.g., skilled nursing home) during the intended period of this study.
Major cardiovascular event or procedure within the prior 6 weeks.
HF secondary to significant uncorrected primary valvular disease (except mitral regurgitation secondary to left ventricular dysfunction). If valve replacement has been performed, the participant may not be enrolled for 12 months after this procedure.
Dementia
Severe COPD (FEV1<50%), PVD, and/or Anemia
End-stage malignancy
Severe valvular heart disease
Psychiatric hospitalization within the last 3 months
Chronic ETOH or drug dependency.
We will exclude all of the following special populations:
Adults unable to consent
Individuals who are not yet adults (infants, children, teenagers)
Pregnant women
Prisoners


Other Criteria:
Ages Eligible for Study
70 Years and older (Older Adult )
Sexes Eligible for Study
All
Accepts Healthy Volunteers
No