Managing heart failure with a frailty-first perspective is essential and requires recognising the interplay between the two conditions and tailoring interventions to address both.
Frailty increases vulnerability to treatment side effects and reduces the likelihood of favourable outcomes. Frequent or lengthy inpatient hospitalisations in patients with co-existing frailty may also accelerate frailty progression, impacting on longer term survival. The integration of frailty assessments into heart failure care ensures a comprehensive, personalised and proactive approach.

• Describe the importance of considering fraility as part of a patent's heart failure assessment
• To consider frailty in the management of patients with heart failure and adjust treatment decisions based on this assessment