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Adherence in heart failure in the elderly: problem and possible solutions.

Martje H L van der Wal¹, Tiny Jaarsma

¹Department of Cardiology, University Medical Center Groningen, University of Groningen, The Netherlands. m.h.l.van.der.wal@thorax.umcg.nl

International Journal of Cardiology

|November 23, 2007

Summary

Non-adherence to complex heart failure treatment plans is a significant issue for elderly patients, impacting their health and quality of life. Interventions must address multiple factors to improve medication and lifestyle adherence.

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Area of Science:

Geriatric Medicine
Cardiology
Pharmacology

Background:

Heart failure management is increasingly complex, particularly for elderly patients with comorbidities.
Non-adherence to treatment regimens leads to adverse outcomes like symptom exacerbation and rehospitalization.

Purpose of the Study:

To review literature on adherence to heart failure treatments in elderly patients.
To define adherence and explore the scope of non-adherence in this demographic.
To identify factors influencing adherence and outline interventions for improvement.

Main Methods:

Literature review of adherence in elderly heart failure patients.
Analysis of factors contributing to non-adherence.
Description of interventions to enhance adherence.

Main Results:

Non-adherence is a significant problem in elderly heart failure patients.
Five key dimensions influencing adherence were identified: socioeconomic, healthcare system, patient condition, therapy, and patient-related factors.

Conclusions:

Addressing non-adherence requires a multidimensional approach targeting all contributing factors.
A multidisciplinary heart failure team is essential for improving adherence in this vulnerable population.
Further research is needed to evaluate the effectiveness of interventions aimed at enhancing adherence.