Geriatric conditions in heart failure.
Geriatric conditions in heart failure.
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DOI：
10.1007/s12170-012-0259-8
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发表时间：
2012-10
影响因子：
1.9
通讯作者：
Chaudhry, Sarwat I
中科院分区：
文献类型：
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作者：
Dodson, John A;Chaudhry, Sarwat I
随着美国人口老龄化，心力衰竭患者中老年疾病的患病率正在增加，尽管它们目前不属于传统的心力衰竭疾病模型。在这篇综述中，我们描述了四种常见老年疾病（认知功能障碍、虚弱、福尔斯和尿失禁）在老年心力衰竭患者中的共同发生，它们的相互作用机制，以及它们与结局的关系。我们提出了一个新的范例，以满足老年心力衰竭人群的需求，包括全面评估老年人的条件和定制的治疗和监测相应的。心脏病学和老年病学等相关学科之间的协调可能会促进这一转变。需要进一步的研究，以了解如何优化对特定损伤患者的护理，以改善结果。
As the U.S. population ages, the prevalence of geriatric conditions in patients with heart failure is increasing, although they currently fall outside the traditional heart failure disease model. In this review, we describe the co-occurrence of four common geriatric conditions (cognitive impairment, frailty, falls, and incontinence) in older adults with heart failure, their mechanisms of interaction, and their association with outcomes. We propose a new paradigm to meet the needs of the aging heart failure population that includes comprehensive assessment of geriatric conditions and tailoring of therapy and surveillance accordingly. Coordination among relevant disciplines such as cardiology and geriatrics may facilitate this transition. Further research is needed in order to understand how to optimize care for patients with specific impairments in order to improve outcomes.