Systolic heart failure in elderly patients

被引：0

作者：

Normann, Jeanette ^{[1
]}

机构：

[1] Med Univ Klin Heidelberg, Abt Kardiol Angiol & Pneumol, D-69120 Heidelberg, Germany

来源：

ZEITSCHRIFT FUR GERONTOLOGIE UND GERIATRIE | 2015年 / 48卷 / 02期

关键词：

Frailty; Comorbidities; Polypharmacy; Ventricular ejection fraction; Brain natriuretic peptide; CARDIOVASCULAR-DISEASE ENTERPRISES; LEFT-VENTRICULAR DYSFUNCTION; OLDER-ADULTS; MYOCARDIAL-INFARCTION; MAJOR SHAREHOLDERS; RANDOMIZED-TRIAL; MORTALITY; CAPTOPRIL; SURVIVAL; THERAPY;

D O I：

10.1007/s00391-014-0853-0

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Heart failure is becoming more and more important because of an increasing prevalence in elderly people. Even in healthy elderly individuals there are physiological changes in the cardiovascular system which can be modified by cardiac risk factors and comorbidities and trigger the onset of heart failure. The symptoms in the elderly are often atypical and can be difficult to diagnose in the presence of comorbidities. Echocardiography is important for the diagnosis of heart failure and can be easily and non-invasively performed. This can be complemented by further imaging methods and serological tests, such as determination of the concentrations of brain natriuretic peptide (BNP) and n-terminal pro-brain natriuretic peptide (NTproBNP). In elderly patients the problem of polypharmacy often arises. Therapeutic goals are in particular improvement in the quality of life and of symptoms.

引用

页码：187 / 197

页数：11

共 32 条

[1] Cognitive impairment and cardiovascular diseases in the elderly. A heart-brain continuum hypothesis [J].

Abete, Pasquale ;

Della-Morte, David ;

Gargiulo, Gaetano ;

Basile, Claudia ;

Langellotto, Assunta ;

Galizia, Gianluigi ;

Testa, Gianluca ;

Canonico, Vincenzo ;

Bonaduce, Domenico ;

Cacciatore, Francesco .

AGEING RESEARCH REVIEWS, 2014, 18 :41-52

[2] A propensity-matched study of the effects of chronic diuretic therapy on mortality and hospitalization in older adults with heart failure [J].

Ahmed, Ali ;

Young, James B. ;

Love, Thomas E. ;

Levesque, Raynald ;

Pitt, Betram .

INTERNATIONAL JOURNAL OF CARDIOLOGY, 2008, 125 (02) :246-253

[3] The obesity paradox - Body mass index and outcomes in patients with heart failure [J].

Curtis, JP ;

Selter, JG ;

Wang, YF ;

Rathore, SS ;

Jovin, IS ;

Jadbabaie, F ;

Kosiborod, M ;

Portnay, EL ;

Sokol, SI ;

Bader, F ;

Krumholz, HM .

ARCHIVES OF INTERNAL MEDICINE, 2005, 165 (01) :55-61

[4] Geriatric Conditions in Heart Failure [J].

John A. Dodson ;

Sarwat I. Chaudhry .

Current Cardiovascular Risk Reports, 2012, 6 (5) :404-410

[5] Percutaneous Repair or Surgery for Mitral Regurgitation [J].

Feldman, Ted ;

Foster, Elyse ;

Glower, Donald G. ;

Kar, Saibal ;

Rinaldi, Michael J. ;

Fail, Peter S. ;

Smalling, Richard W. ;

Siegel, Robert ;

Rose, Geoffrey A. ;

Engeron, Eric ;

Loghin, Catalin ;

Trento, Alfredo ;

Skipper, Eric R. ;

Fudge, Tommy ;

Letsou, George V. ;

Massaro, Joseph M. ;

Mauri, Laura .

NEW ENGLAND JOURNAL OF MEDICINE, 2011, 364 (15) :1395-1406

[6] Heart failure in very old adults [J].

Forman D.E. ;

Ahmed A. ;

Fleg J.L. .

Current Heart Failure Reports, 2013, 10 (4) :387-400

[7] Ivabradine in Stable Coronary Artery Disease without Clinical Heart Failure [J].

Fox, Kim ;

Ford, Ian ;

Steg, Philippe Gabriel ;

Tardif, Jean-Claude ;

Tendera, Michal ;

Ferrari, Roberto .

NEW ENGLAND JOURNAL OF MEDICINE, 2014, 371 (12) :1091-1099

[8] Heart Disease and Stroke Statistics-2013 Update A Report From the American Heart Association [J].

Go, Alan S. ;

Mozaffarian, Dariush ;

Roger, Veronique L. ;

Benjamin, Emelia J. ;

Berry, Jarett D. ;

Borden, William B. ;

Bravata, Dawn M. ;

Dai, Shifan ;

Ford, Earl S. ;

Fox, Caroline S. ;

Franco, Sheila ;

Fullerton, Heather J. ;

Gillespie, Cathleen ;

Hailpern, Susan M. ;

Heit, John A. ;

Howard, Virginia J. ;

Huffman, Mark D. ;

Kissela, Brett M. ;

Kittner, Steven J. ;

Lackland, Daniel T. ;

Lichtman, Judith H. ;

Lisabeth, Lynda D. ;

Magid, David ;

Marcus, Gregory M. ;

Marelli, Ariane ;

Matchar, David B. ;

McGuire, Darren K. ;

Mohler, Emile R. ;

Moy, Claudia S. ;

Mussolino, Michael E. ;

Nichol, Graham ;

Paynter, Nina P. ;

Schreiner, Pamela J. ;

Sorlie, Paul D. ;

Stein, Joel ;

Turan, Tanya N. ;

Virani, Salim S. ;

Wong, Nathan D. ;

Woo, Daniel ;

Turner, Melanie B. .

CIRCULATION, 2013, 127 (01) :E6-E245

[9] Prevalence of Memory Disorders in Ambulatory Patients Aged ≥70 Years With Chronic Heart Failure (from the EFICARE Study) [J].

Hanon, Olivier ;

Vidal, Jean-Sebastien ;

de Groote, Pascal ;

Galinier, Michel ;

Isnard, Richard ;

Logeart, Damien ;

Komajda, Michel .

AMERICAN JOURNAL OF CARDIOLOGY, 2014, 113 (07) :1205-1210

[10] Improved survival associated with prophylactic implantable defibrillators in elderly patients with prior myocardial infarction and depressed ventricular function: A MADIT-II substudy [J].

Huang, David T. ;

Sesselberg, Henry W. ;

McNitt, Scott ;

Noyes, Katia ;

Andrews, Mark L. ;

Hall, W. Jackson ;

Dick, Andrew ;

Daubert, James P. ;

Zareba, Wojciech ;

Moss, Arthur J. .

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2007, 18 (08) :833-838

← 1 2 3 4 →