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Supportive Care in Heart Failure$
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James Beattie and Sarah Goodlin

Print publication date: 2008

Print ISBN-13: 9780198570288

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780198570288.001.0001

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The Elderly Patient With Heart Failure

The Elderly Patient With Heart Failure

(p.319) Chapter 17 The Elderly Patient With Heart Failure
Supportive Care in Heart Failure

Christopher Ward

Neil Gillespie

Oxford University Press

This chapter starts by discussing older patients, and by presenting the aspirations of patients with heart failure (HF) and specific age-related problems. The aetiology of HF in the elderly and the significance of the normal aging process are reported. It is more difficult to diagnose the elderly because symptoms are often mild or difficult to interpret and echocardiography is frequently less informative because of the high prevalence of HF with preserved systolic function (HF-PSF). The recommended treatment for HF in the elderly is, as in younger patients, based on national and international guidelines for medication regimes, non-pharmacological advice, and interventional and surgical procedures. In addition, the rationale for guideline-based medications in elderly patients is given. Medication for patients with HF with preserved left ventricular systolic function is then shown. Moreover, the quality of life, hospitalization, disease management programmes, and end-stage HF and end-of-life care are emphasized.

Keywords:   heart failure, elderly patient, aetiology, preserved left ventricular systolic function, guidelines, quality of life, management programmes, hospitalization

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