DEFEAT heart failure: Assessment and management of heart failure in nursing homes made easy

被引:20
作者
Ahmed, Ali [1 ,2 ,3 ,4 ]
Jones, Linda [1 ,3 ,5 ]
Hays, Clare I. [1 ,6 ]
机构
[1] Univ Alabama Birmingham, Dept Med, Div Gerontol Geriatr & Palliat Care, Sch Med, Birmingham, AL 35294 USA
[2] Univ Alabama Birmingham, Sch Publ Hlth, Dept Epidemiol, Birmingham, AL 35294 USA
[3] Univ Alabama Birmingham, Geriatr Heart Failure Clin, Birmingham, AL 35294 USA
[4] Vet Affairs Med Ctr, Birmingham, AL USA
[5] Univ Alabama Birmingham, Sch Nursing, Birmingham, AL 35294 USA
[6] Fairhaven Retirement Ctr, Birmingham, AL USA
关键词
chronic heart failure; nursing home; assessment; management;
D O I
10.1016/j.jamda.2008.03.004
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 (HF) in older adults presents challenges that are different in many ways than those for younger adults. Diagnosis of HF in older adults can be delayed due to attributing early symptoms to normal changes of aging or, in the setting of a normal ejection fraction, failing to appreciate diastolic heart failure. Moreover, treatment of HF in the elderly is often complicated by comorbidities and polypharmacy. The long-term care setting can present even more challenges, yet can be made easy by following a simple mnemonic DEFEAT-HF. After making a clinical Diagnosis and determining the Etiology, Fluid volume must be assessed to achieve euvolemia, and Ejection frAction must be determined to guide Therapy.
引用
收藏
页码:383 / 389
页数:7
相关论文
共 36 条
[1]   Quality of care of nursing home residents hospitalized with heart failure [J].
Ahmed, A ;
Weaver, MT ;
Allman, RM ;
DeLong, JF ;
Aronow, WS .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2002, 50 (11) :1831-1836
[2]   Use of angiotensin-converting enzyme inhibitors in patients with heart failure and renal insufficiency: How concerned should we be by the rise in serum creatinine? [J].
Ahmed, A .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2002, 50 (07) :1297-1300
[3]   Survival benefits of angiotensin-converting enzyme inhibitors in older heart failure patients with perceived contraindications [J].
Ahmed, A ;
Kiefe, CI ;
Allman, RM ;
Sims, RV ;
DeLong, JF .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2002, 50 (10) :1659-1666
[4]   Use of beta-blockers in older adults with chronic heart failure [J].
Ahmed, A ;
Dell'Italia, LJ .
AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 2004, 328 (02) :100-111
[5]   Myocardial beta-1 adrenoceptor down-regulation in aging and heart failure: implications for beta-blocker use in older adults with heart failure [J].
Ahmed, A .
EUROPEAN JOURNAL OF HEART FAILURE, 2003, 5 (06) :709-715
[6]   Diagnosis of heart failure in older adults: predictive value of dyspnea at rest [J].
Ahmed, A ;
Allman, RM ;
Aronow, WS ;
DeLong, JF .
ARCHIVES OF GERONTOLOGY AND GERIATRICS, 2004, 38 (03) :297-307
[7]   Association of diastolic dysfunction and outcomes in ambulatory older adults with chronic heart failure [J].
Ahmed, A .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2005, 60 (10) :1339-1344
[9]  
AHMED A, 1995, ANN LONG TERM CARE, V6, P62
[10]  
Ahmed Ali, 2007, Heart Fail Clin, V3, P389, DOI 10.1016/j.hfc.2007.07.005