Heart Failure Association/European Society of Cardiology position paper on frailty in patients with heart failure

被引：210

作者：

Vitale, Cristiana ^{[1
]}

Jankowska, Ewa ^{[2
]}

Hill, Loreena ^{[3
]}

Piepoli, Massimo ^{[4
,5
]}

Doehner, Wolfram ^{[6
]}

Anker, Stefan D. ^{[7
,8
]}

Lainscak, Mitja ^{[9
]}

Jaarsma, Tiny ^{[10
,11
]}

Ponikowski, Piotr ^{[2
]}

Rosano, Giuseppe M. C. ^{[1
]}

Seferovic, Petar ^{[12
]}

Coats, Andrew J.

机构：

[1] IRCCS San Raffaele Pisana, Ctr Clin & Basic Res, Dept Med Sci, Rome, Italy

[2] Wroclaw Med Univ, Mil Hosp, Dept Heart Dis, Ctr Heart Dis, Wroclaw, Poland

[3] Queens Univ, Sch Nursing & Midwifery, Belfast, Antrim, North Ireland

[4] Guglielmo da Saliceto Hosp, Heart Failure Unit, Cardiol, Piacenza, Italy

[5] Inst Life Sci, St Anna Sch Adv Studies, Scuola Super St Anna, Pisa, Italy

[6] Wroclaw Med Univ, Mil Hosp, Dept Heart Dis, Ctr Heart Dis, Wroclaw, Poland

[7] Charite Univ Med Berlin, Dept Cardiol, Virchow Klinikum, German Ctr Cardiovasc Res DZHK, Berlin, Germany

[8] Charite Univ Med Berlin, Dept Cardiol CVK, Berlin, Germany

[9] Gen Hosp Murska Sobota, Dept Internal Med, Ljubljana, Slovenia

[10] Univ Ljubljana, Fac Med, Ljubljana, Slovenia

[11] Linkoping Univ, Fac Med & Hlth Sci, Linkoping, Sweden

[12] Univ Med Ctr Belgrade, Fac Med, Belgrade, Serbia

来源：

EUROPEAN JOURNAL OF HEART FAILURE | 2019年 / 21卷 / 11期

关键词：

Heart failure; Frailty; Aging; Instruments; Score; VENTRICULAR ASSIST DEVICE; CARDIAC REHABILITATION; OLDER-ADULTS; HEALTH; PREVALENCE; PERFORMANCE; MORTALITY; OUTCOMES; RISK; DISEASE;

D O I：

10.1002/ejhf.1611

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Heart failure (HF) and frailty are two distinct yet commonly associated conditions. The interplay between the two conditions is complex, due to overlaps in underlying mechanisms, symptoms and prognosis. The assessment of frailty in patients with HF is crucial, as it is associated with both unfavourable outcomes and reduced access and tolerance to treatments. However, to date a consensus definition of frailty in patients with HF remains lacking and the need for a validated assessment score, for identifying those HF patients with frailty, is high and timely. This position paper proposes a new definition of frailty for use by healthcare professionals in the setting of HF and creates a foundation for the design of a tailored and validated score for this common condition.

引用

页码：1299 / 1305

页数：7

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