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Survival of elderly men with congestive heart failure

G E Taffet1, T A Teasdale, A J Bleyer

  • 1Huffington Centre on Aging M-320, Baylor College of Medicine, Houston, Texas 77030.

Age and Ageing
|January 1, 1992
PubMed

Insights

Congestive heart failure (CHF) significantly impacts survival in elderly patients, particularly within the first year post-diagnosis. Left ventricular ejection fraction (LVEF) did not influence survival rates in this older male CHF cohort.

Area of Science:

  • Cardiology
  • Geriatrics
  • Public Health

Background:

  • Congestive heart failure (CHF) is a leading discharge diagnosis for elderly individuals.
  • Recent survival data for elderly CHF patients, specifically considering left ventricular ejection fraction (LVEF), is limited.
  • Understanding survival outcomes is crucial for managing this prevalent condition in older populations.

Purpose of the Study:

  • To report recent survival data for elderly male patients (≥75 years) diagnosed with CHF.
  • To investigate the impact of left ventricular ejection fraction (LVEF) on the survival of these patients.
  • To compare the survival experience of elderly CHF patients with age- and sex-matched population data.

Main Methods:

  • A patient database was screened for CHF diagnoses in men aged ≥75 years with LVEF data and a minimum 3-year follow-up.
  • Life-table analysis was used to compare CHF patient survival with 1980 US Census data.
  • Causes of death were determined through autopsy, medical records, or death certificates.

Main Results:

  • Ninety-four elderly men met the inclusion criteria, with a mean age of 82.5 years at CHF onset.
  • Forty-three percent of patients had an LVEF ≥0.45; no significant difference in aetiologies was found between LVEF groups.
  • CHF patients exhibited worse survival than controls for the first 5 years, driven by a 28% first-year mortality. LVEF did not impact survival.

Conclusions:

  • Elderly male CHF patients face significantly reduced survival, especially in the first year post-diagnosis.
  • Left ventricular ejection fraction (LVEF) does not appear to be a significant prognostic factor for survival in this elderly male CHF cohort.
  • Further research may be warranted to explore other factors influencing survival in elderly CHF patients.

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