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01.12.2016 | geriatrics: at crossroads of medicine | Sonderheft 7/2016

Wiener klinische Wochenschrift 7/2016

Heart failure management in the elderly – a public health challenge

Zeitschrift:
Wiener klinische Wochenschrift > Sonderheft 7/2016
Autoren:
Natasa Cvetinovic, Goran Loncar, MD, PhD Jerneja Farkas

Summary

Heart failure (HF) is a rapidly growing public health problem and the leading cause of morbidity, mortality, and hospitalization in populations > 65 years. The elderly HF patients have an increased prevalence of HF with preserved ejection fraction and comorbidities, may present with atypical symptoms and signs, have a higher risk for adverse drug reactions, and worse prognosis as compared with younger patients. Moreover, there is a lack of evidence-based therapies for this population because they are underrepresented in the clinical trials. The elderly are less likely to be evaluated by a cardiologist and to be treated in accordance with recommendations of the current HF guidelines. Although the treatment is improving, it is still suboptimal; therefore, HF in elderly patients requires mobilization of public health services and improvement of treatment strategies.

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