DEFEAT heart failure: assessment and management of heart failure in nursing homes made easy.
DEFEAT heart failure: assessment and management of heart failure in nursing homes made easy.
复制标题
战胜心力衰竭：疗养院心力衰竭的评估和管理变得容易。
DOI：
10.1016/j.jamda.2008.03.004
复制
发表时间：
2008
影响因子：
7.6
通讯作者：
Hays,ClareI
中科院分区：
文献类型：
--
作者：
Ahmed,Ali;Jones,Linda;Hays,ClareI
老年人心力衰竭（HF）的挑战在许多方面与年轻人不同。由于将早期症状归因于年龄的正常变化，或者在射血分数正常的情况下，未能认识到舒张性心力衰竭，老年人HF的诊断可能会延迟。此外，老年心衰患者的治疗常常因合并症和多种药物治疗而复杂化。长期护理环境可能会带来更多挑战，但可以通过遵循简单的助记器DEFEAT-HF来简化。在做出临床诊断并确定病因后，必须评估液体容量以达到血容量，并确定射血分数以指导治疗。
Heart failure (HF) in older adults presents challenges that are different in many ways than those for younger adults. Diagnosis of HF in older adults can be delayed due to attributing early symptoms to normal changes of aging or, in the setting of a normal ejection fraction, failing to appreciate diastolic heart failure. Moreover, treatment of HF in the elderly is often complicated by comorbidities and polypharmacy. The long-term care setting can present even more challenges, yet can be made easy by following a simple mnemonic DEFEAT-HF. After making a clinical Diagnosis and determining the Etiology, Fluid volume must be assessed to achieve euvolemia, and Ejection frAction must be determined to guide Therapy.