Heart Failure in Older Adults: Medical Management and Advanced Therapies
As the population ages and the prevalence of heart failure increases, cardiologists and geriatricians can expect to see more elderly patients with heart failure in their everyday practice. With the advancement of medical care and technology, the options for heart failure management have expanded, th...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-03-01
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| Series: | Geriatrics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2308-3417/7/2/36 |
| _version_ | 1797446182722600960 |
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| author | Ellen Liu Brent C. Lampert |
| author_facet | Ellen Liu Brent C. Lampert |
| author_sort | Ellen Liu |
| collection | DOAJ |
| description | As the population ages and the prevalence of heart failure increases, cardiologists and geriatricians can expect to see more elderly patients with heart failure in their everyday practice. With the advancement of medical care and technology, the options for heart failure management have expanded, though current guidelines are based on studies of younger populations, and the evidence in older populations is not as robust. Pharmacologic therapy remains the cornerstone of heart failure management and has improved long-term mortality. Prevention of sudden cardiac death with implantable devices is being more readily utilized in older patients. Advanced therapies have provided more options for end-stage heart failure, though its use is still limited in older patients. In this review, we discuss the current guidelines for medical management of heart failure in older adults, as well as the expanding literature on advanced therapies, such as heart transplantation in older patients with end-stage heart failure. We also discuss the importance of a multidisciplinary care approach including consideration of non-medical co-morbidities such as frailty and cognitive decline. |
| first_indexed | 2024-03-09T13:37:37Z |
| format | Article |
| id | doaj.art-f086cffab20440c6b81b7ffc40b8165f |
| institution | Directory Open Access Journal |
| issn | 2308-3417 |
| language | English |
| last_indexed | 2024-03-09T13:37:37Z |
| publishDate | 2022-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Geriatrics |
| spelling | doaj.art-f086cffab20440c6b81b7ffc40b8165f2023-11-30T21:11:06ZengMDPI AGGeriatrics2308-34172022-03-01723610.3390/geriatrics7020036Heart Failure in Older Adults: Medical Management and Advanced TherapiesEllen Liu0Brent C. Lampert1Division of Cardiovascular Medicine, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USADivision of Cardiovascular Medicine, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USAAs the population ages and the prevalence of heart failure increases, cardiologists and geriatricians can expect to see more elderly patients with heart failure in their everyday practice. With the advancement of medical care and technology, the options for heart failure management have expanded, though current guidelines are based on studies of younger populations, and the evidence in older populations is not as robust. Pharmacologic therapy remains the cornerstone of heart failure management and has improved long-term mortality. Prevention of sudden cardiac death with implantable devices is being more readily utilized in older patients. Advanced therapies have provided more options for end-stage heart failure, though its use is still limited in older patients. In this review, we discuss the current guidelines for medical management of heart failure in older adults, as well as the expanding literature on advanced therapies, such as heart transplantation in older patients with end-stage heart failure. We also discuss the importance of a multidisciplinary care approach including consideration of non-medical co-morbidities such as frailty and cognitive decline.https://www.mdpi.com/2308-3417/7/2/36heart failureelderlypolypharmacyheart transplantventricular assist device |
| spellingShingle | Ellen Liu Brent C. Lampert Heart Failure in Older Adults: Medical Management and Advanced Therapies Geriatrics heart failure elderly polypharmacy heart transplant ventricular assist device |
| title | Heart Failure in Older Adults: Medical Management and Advanced Therapies |
| title_full | Heart Failure in Older Adults: Medical Management and Advanced Therapies |
| title_fullStr | Heart Failure in Older Adults: Medical Management and Advanced Therapies |
| title_full_unstemmed | Heart Failure in Older Adults: Medical Management and Advanced Therapies |
| title_short | Heart Failure in Older Adults: Medical Management and Advanced Therapies |
| title_sort | heart failure in older adults medical management and advanced therapies |
| topic | heart failure elderly polypharmacy heart transplant ventricular assist device |
| url | https://www.mdpi.com/2308-3417/7/2/36 |
| work_keys_str_mv | AT ellenliu heartfailureinolderadultsmedicalmanagementandadvancedtherapies AT brentclampert heartfailureinolderadultsmedicalmanagementandadvancedtherapies |