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Multi-Modal Home Sleep Monitoring in Older Adults
Published on: January 26, 2019
Multimorbidity in Older Adults with Heart Failure
Kumar Dharmarajan1, Shannon M Dunlay2
1Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, 1 Church Street, Suite 200, New Haven, CT 06510, USA; Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, 1 Church Street, Suite 200, New Haven, CT 06510, USA.
Abstract:
Multimorbidity is common among older adults with heart failure and creates diagnostic and management challenges. Diagnosis of heart failure may be difficult, as many conditions commonly found in older persons produce dyspnea, exercise intolerance, fatigue, and weakness; no singular pathognomonic finding or diagnostic test differentiates them from one another. Treatment may also be complicated, as multimorbidity creates high potential for drug-disease and drug-drug interactions in settings of polypharmacy. The authors suggest that management of multimorbid older persons with heart failure be patient, rather than disease-focused, to best meet patients' unique health goals and minimize risk from excessive or poorly-coordinated treatments.
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