Related Experiment Video
Updated: Aug 8, 2026

Tachycardia-Induced Cardiomyopathy As a Chronic Heart Failure Model in Swine
Published on: February 17, 2018
[Characteristics of the chronic heart failure in the elderly]
1Department of Internal Medicine, Tokyo Metropolitan Geriatric Center.
Insights
Diastolic heart failure in elderly patients presents treatment challenges. This review covers guideline-based therapies and recent advancements for managing this common condition in older adults.
Area of Science:
- Geriatric Cardiology
- Heart Failure Pathophysiology
- Clinical Treatment Guidelines
Context:
- Chronic heart failure (CHF) significantly impacts the elderly population.
- Diastolic heart failure with preserved ejection fraction constitutes a substantial portion of CHF in older adults.
- Limited evidence-based therapeutic options exist for elderly patients with diastolic heart failure.
Purpose:
- To review treatments for diastolic heart failure as recommended by ACC/AHA guidelines.
- To discuss diagnostic and management challenges of CHF in the elderly.
- To present recent developments in diastolic heart failure treatment.
Summary:
- This article details ACC/AHA guideline-recommended treatments for diastolic heart failure in the elderly.
- It addresses common diagnostic and management issues specific to this demographic.
- Recent therapeutic strategies and research findings are also highlighted.
Impact:
- Provides a comprehensive overview of current and emerging treatments for elderly patients with diastolic heart failure.
- Aids clinicians in navigating the complexities of diagnosing and managing this condition.
- Contributes to improved patient outcomes by summarizing evidence-based and novel therapeutic approaches.
Abstract:
Chronic heart failure (CHF) in the elderly is a significant healthcare problem. Nearly half of CHF in this age group is diastolic heart failure with preserved left ventricular ejection fraction. However there is the limitation of the evidence-based therapy for this important group of patients. In this article, the treatments for the diastolic heart failure recommended in the ACC/AHA guidelines for the CHF (1998, 2001, 2005 versions) are described and common problems regarding the diagnosis and management of CHF in the elderly is also discussed. Furthermore, the recent topics about the treatment of diastolic heart failure are presented.
Related Concept Videos
Pathophysiology of Heart Failure
Heart Failure III: Clinical Manifestations
Heart Failure I: Introduction
Heart Failure II: Pathophysiology
Heart Failure IV: Classification and Diagnostic Evaluation
Heart Failure VII: Nursing Interventions