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[Approach to heart failure in the elderly]

Dilek Yeşilbursa1

  • 1Department of Cardiology, Uludağ University Faculty of Medicine, Bursa, Turkey. dilekyb@uludag.edu.tr.

Turk Kardiyoloji Dernegi Arsivi : Turk Kardiyoloji Derneginin Yayin Organidir
|October 5, 2017
PubMed

Insights

Heart failure is more common in older adults due to age-related cardiac changes. Diagnosing and treating heart failure in the elderly requires careful consideration of unique physiological factors and medication responses.

Area of Science:

  • Geriatrics
  • Cardiology
  • Internal Medicine

Background:

  • Cardiac aging is associated with structural and functional changes.
  • Heart failure with preserved ejection fraction is prevalent in the elderly due to age-related diastolic dysfunction.

Purpose of the Study:

  • To highlight the challenges in diagnosing heart failure in elderly patients.
  • To emphasize the need for individualized treatment strategies for heart failure in older adults.

Main Methods:

  • Review of age-associated physiological changes affecting cardiac function.
  • Analysis of diagnostic difficulties in elderly heart failure patients.
  • Consideration of factors influencing medication management in older adults.

Main Results:

  • Elderly patients often present with atypical symptoms, complicating diagnosis.
  • Age-related changes impact treatment efficacy and safety.
  • Comorbidities, polypharmacy, and compliance are critical factors in management.

Conclusions:

  • Diagnosing heart failure in the elderly is challenging due to atypical presentations.
  • Treatment selection for elderly heart failure patients must account for physiological changes, comorbidities, and drug interactions.

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