Management of heart failure in the elderly

被引:18
作者
Alghamdi, Faisal [1 ]
Chan, Michael [2 ]
机构
[1] Univ Alberta, Div Cardiol, Dept Med, Mazankowski Alberta Heart Inst, Edmonton, AB, Canada
[2] Univ Alberta, Div Cardiol, Royal Alexandra Hosp, Edmonton, AB, Canada
关键词
elderly; geriatric; heart failure; LEFT-VENTRICULAR DYSFUNCTION; PRESERVED EJECTION FRACTION; BISOPROLOL VS. CARVEDILOL; NEPRILYSIN INHIBITION; TASK-FORCE; SOCIETY; MORTALITY; GUIDELINES; EFFICACY; SAFETY;
D O I
10.1097/HCO.0000000000000375
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose of review Heart failure is a major chronic illness with no definitive cure. With improving healthcare and with an aging population in many countries, heart failure has become a common disease of the elderly. Pharmacological management of heart failure in the elderly remains a challenge. The syndrome of heart failure cannot be isolated from other comorbidities, which are very common in this population. The purpose of this review is to assist practicing clinicians to more effectively make decisions about management of heart failure in the elderly. Recent findings In this review, we will try to integrate recent research studies, recent guidelines, and new treatment modalities, and discuss some controversies. Summary In general, the elderly patient with heart failure should be treated according to current heart failure guidelines; however, untailored heart failure management may cause untoward effects in this age group and may worsen clinical outcome.
引用
收藏
页码:217 / 223
页数:7
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