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Heart failure in the elderly.

Sarah J Goodlin¹

¹Intermountain Healthcare, Institute for Healthcare Delivery Research, Salt Lake City, UT, USA. sarah.goodlin@ihc.com

Expert Review of Cardiovascular Therapy

|February 23, 2005

Summary

Managing heart failure in older adults requires addressing common geriatric issues like dementia and frailty. This review outlines an integrated approach for screening and managing these comorbidities alongside heart failure care.

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Area of Science:

Geriatrics
Cardiology
Internal Medicine

Background:

Heart failure is a leading cause of hospitalization in US adults over 65.
Managing heart failure in the elderly is complex due to high rates of comorbid conditions.
Dementia, frailty, and depression are prevalent in elderly heart failure patients.

Purpose of the Study:

To review and propose an approach for identifying and managing common geriatric problems in older adults with heart failure.
To integrate geriatric care principles into existing heart failure management strategies.
To improve the holistic care of elderly individuals suffering from heart failure.

Main Methods:

Literature review focusing on the intersection of heart failure and geriatric syndromes.
Discussion of screening tools for common geriatric conditions.
Outline of management strategies for comorbid conditions within heart failure care.

Main Results:

Elderly heart failure patients frequently experience dementia, frailty, and depression.
An integrated care model can effectively screen for and manage these geriatric issues.
Addressing comorbidities can potentially improve outcomes for older adults with heart failure.

Conclusions:

A comprehensive approach is needed to manage the complex needs of older adults with heart failure.
Screening for and integrating geriatric care is crucial for optimizing treatment.
This integrated strategy aims to enhance the quality of life and care for this vulnerable population.

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