Domain Management Approach to Heart Failure in the Geriatric Patient: Present and Future.
Domain Management Approach to Heart Failure in the Geriatric Patient: Present and Future.
复制标题
DOI：
10.1016/j.jacc.2018.02.059
复制
发表时间：
2018-05-01
影响因子：
24
通讯作者：
Geriatric Cardiology Section Leadership Council, American College of Cardiology
中科院分区：
文献类型：
--
作者：
Gorodeski EZ;Goyal P;Hummel SL;Krishnaswami A;Goodlin SJ;Hart LL;Forman DE;Wenger NK;Kirkpatrick JN;Alexander KP;Geriatric Cardiology Section Leadership Council, American College of Cardiology
心力衰竭（HF）是一种典型的老年心血管疾病，超过50%的住院患者年龄在75岁及以上。在老年患者中，心力衰竭与衰老所固有的过程密切相关，这些过程包括心肌、血管和骨骼肌的细胞及结构变化。此外，不能孤立地考虑心力衰竭与身体功能的关系，也不能不考虑疾病的社会、心理和行为层面。虚弱、抑郁、认知障碍、营养以及治疗目标各自与医疗治疗的实施和成功都有独特的相关性。在本文中，我们通过一个四领域框架讨论一种针对老年心力衰竭患者的照护模式，该模式能够解决这一人群独特的多维需求和脆弱性问题。我们相信，采用这种方法的临床医生能够改善老年心力衰竭患者的健康结局。
Heart failure (HF) is a quintessential geriatric cardiovascular condition, with more than 50% of hospitalizations occurring in adults age 75 years or older. In older patients, HF is closely linked to processes inherent to aging, which include cellular and structural changes to the myocardium, vasculature, and skeletal muscle. In addition, HF cannot be considered in isolation of physical functioning, or without the social, psychological, and behavioral dimensions of illness. The role of frailty, depression, cognitive impairment, nutrition, and goals of care are each uniquely relevant to the implementation and success of medical therapy. In this paper, we discuss a model of caring for older adults with HF through a 4-domain framework that can address the unique multidimensional needs and vulnerabilities of this population. We believe that clinicians who embrace this approach can improve health outcomes for older adults with HF.
登录
查看更多内容
影响因子：
3.3
作者：
Alosco, Michael L.;Spitznagel, Mary Beth;Gunstad, John
通讯作者：
Gunstad, John
影响因子：
6
作者：
Bekelman, David B.;Havranek, Edward P.;Dy, Sydney M.
通讯作者：
Dy, Sydney M.
影响因子：
6.3
作者：
Agarwal, Kathryn S.;Kazim, Rabia;Taffet, George E.
通讯作者：
Taffet, George E.
影响因子：
2.9
作者：
Arestedt, Kristofer;Saveman, Britt-Inger;Blomqvist, Kerstin
通讯作者：
Blomqvist, Kerstin
影响因子：
--
作者：
Cherubini, Antonio;Oristrell, Joaquim;Mills, Gary H.
通讯作者：
Mills, Gary H.