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Published on: December 11, 2017
Interventional therapies for heart failure in the elderly
Srihari S Naidu1, S Chiu Wong, Richard M Steingart
1Weill Medical College of Cornell University, New York, NY, USA.
Insights
The aging population and increased risk factors are causing a heart failure (HF) epidemic. This review updates interventional therapies for elderly patients with HF from various causes.
Area of Science:
- Cardiology
- Geriatrics
- Interventional Medicine
Background:
- The US population is aging, leading to a rise in heart failure (HF) prevalence.
- Key risk factors include coronary heart disease, diabetes, and hypertension.
- Despite medical advances, symptomatic HF patients face functional decline and reduced lifespan.
Purpose of the Study:
- To review interventional therapies for elderly patients with heart failure (HF).
- To address HF caused by coronary artery, valvular, congenital, myocardial, and renal vascular diseases.
Main Methods:
- Literature review of interventional therapies for HF in the elderly.
- Focus on specific etiologies of HF including coronary artery disease, valvular heart disease, congenital heart disease, myocardial disease, and renal vascular disease.
Main Results:
- Interventional therapies offer treatment options for elderly HF patients.
- Specific interventions are tailored to the underlying cause of HF.
- Advances in treatment aim to improve function and lifespan.
Conclusions:
- Interventional therapies are crucial for managing heart failure (HF) in the aging population.
- Addressing diverse etiologies of HF with interventions is key.
- Optimizing treatment strategies can mitigate functional impairment and prolong life for elderly HF patients.
Abstract:
The aging of a population replete with risk factors for heart failure (HF) (coronary heart disease, diabetes, and hypertension) coupled with a declining age-adjusted mortality rate for coronary artery and hypertensive heart diseases has created, and will continue to create, a literal explosion in the prevalence of HF in the United States. Despite advances in maximal medical therapy, however, most patients who have symptomatic HF can expect functional impairment, interludes of worsening symptomatology, and a shortened lifespan. This article updates the use of interventional therapies for the treatment of elderly patients who have HF caused by coronary artery disease, valvular heart disease, congenital heart disease, myocardial disease, and renal vascular disease.
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