Related Experiment Video

Updated: Sep 5, 2025

A Surgical Model of Heart Failure with Preserved Ejection Fraction in Tibetan Minipigs
07:09

A Surgical Model of Heart Failure with Preserved Ejection Fraction in Tibetan Minipigs

Published on: February 18, 2022

2.0K

Chinese expert consensus on the diagnosis and treatment of chronic heart failure in elderly patients (2021)

Xiaoming Wang1, Cuntai Zhang2,

  • 1Department of Geriatrics Xijing Hospital, Air Force Medical University Xi'an China.

Aging Medicine (Milton (N.S.W))
|July 6, 2022
PubMed

Insights

This consensus provides guidance for diagnosing and treating elderly patients with chronic heart failure. It addresses challenges in geriatric heart failure management due to multiple comorbidities and functional decline.

Area of Science:

  • Geriatric Medicine
  • Cardiology
  • Clinical Practice

Background:

  • Heart failure significantly impacts elderly quality of life, causing decreased activity tolerance and hospitalizations.
  • Despite treatment advances, heart failure prevalence, mortality, and readmission rates remain high in the elderly.
  • Elderly patients present unique challenges including multiple risk factors, comorbidities, medications, and functional decline.

Purpose of the Study:

  • To summarize diagnosis and treatment regimens for elderly patients with chronic heart failure.
  • To provide clinical guidance for geriatric heart failure management in China.
  • To facilitate the application of clinical geriatric medicine among community physicians.

Main Methods:

  • Consensus drafting by experts from the Cardiovascular Group, Geriatrics Branch of the Chinese Medical Association.
  • Review and synthesis of current knowledge on geriatric heart failure.
  • Development of practical recommendations for clinical diagnosis and treatment.

Main Results:

  • Summarized diagnosis and treatment strategies tailored for elderly heart failure patients.
  • Highlighted differences in management compared to younger populations.
  • Provided guidance for long-term management and rehabilitation.

Conclusions:

  • Effective management of elderly heart failure requires a geriatric approach.
  • This consensus aims to improve clinical practice and patient outcomes in China.
  • Addressing the complexities of aging is crucial for optimizing heart failure care.

Keywords:
Chinese experts consensuschronic heart failureelderly

More Related Videos

Author Spotlight: An Effective Traditional Chinese Medicinal Treatment for Chronic Obstructive Pulmonary Disease with Abdominal Distension05:19

Author Spotlight: An Effective Traditional Chinese Medicinal Treatment for Chronic Obstructive Pulmonary Disease with Abdominal Distension

Published on: September 1, 2023

1.6K
Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure05:16

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure

Published on: June 10, 2025

205

Related Concept Videos

Heart Failure IV: Classification and Diagnostic Evaluation01:30

Heart Failure IV: Classification and Diagnostic Evaluation

Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
27
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
23
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
25
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
30
Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
134
Heart Failure III: Clinical Manifestations01:26

Heart Failure III: Clinical Manifestations

Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
41