Heart failure in seniors in the conditions of follow-up care wards
Authors:
L. Pavlíčková; A. Cybulja
Authors place of work:
Oddělení geriatrie a následné péče, Thomayerova nemocnice, Praha
Published in the journal:
Geriatrie a Gerontologie 2015, 4, č. 1: 5-12
Category:
Original Article/Study
Summary
Heart failure has increasing prevalence in the population of seniors. Prognosis of this disease is poor; only 20–30 % of patients survive 5 years from the establishment of the diagnosis.
We have collected data about patients hospitalized for the diagnosis of “heart failure” at the Department of Geriatrics and Follow-up Care of Thomayer hospital in Prague during years 2012 and 2013. We followed 162 patients. 54 % of all patients died during the hospitalization or within one month after discharge. Renal failure and hypalbuminemia was statistically more frequent among the deceased patients. 68 % of survivors used beta-blocker, whereas among deceased patients it was only 55 % (p < 0.1). Patients with systolic dysfunction had higher mortality (62 %) in comparison with patients with preserved systolic function (43 %, p < 0.05). Interesting was high incidence of pulmonary hypertension revealed by echocardiography, especially among patients with preserved systolic function.
More studies are needed to learn about the pathophysiology and appropriate treatment of heart failure among the elderly, especially of heart failure with preserved systolic function of the left ventricle. It would be suitable to prove observed positive effect of beta-blockers for the population of seniors with heart failure.
Keywords:
heart failure – ejection fraction – diastolic dysfunction
Zdroje
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Štítky
Geriatrics General practitioner for adults Orthopaedic prostheticsČlánok vyšiel v časopise
Geriatrics and Gerontology
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