Dovjak P
Akutgeriatrie/Remobilisation, Landeskrankenhaus Gmunden, Miller-von-Aichholz-Str. 49, 4810, Gmunden.
Z Gerontol Geriatr. 2013 Jan;46(1):71-9; quiz 80-1. doi: 10.1007/s00391-012-0345-z.
The prognosis for patients with diastolic heart failure--heart failure with preserved ejection fraction--has not improved in the last few decades despite improvement of prognosis for all patients with heart failure. Diastolic dysfunction is a typical finding in elderly patients with heart failure. The diagnostic process is a challenge for clinicians who are often faced with comorbidities like COPD, osteoarthritis, sarcopenia, and diabetes. Classical treatment options fail to improve patients with diastolic heart failure; thus, a comprehensive and specific treatment plan is necessary.
尽管所有心力衰竭患者的预后有所改善，但舒张性心力衰竭（射血分数保留的心力衰竭）患者的预后在过去几十年中并未得到改善。舒张功能障碍是老年心力衰竭患者的典型表现。诊断过程对临床医生来说是一项挑战，因为他们经常面临慢性阻塞性肺疾病、骨关节炎、肌肉减少症和糖尿病等合并症。传统的治疗方案无法改善舒张性心力衰竭患者的病情；因此，需要一个全面而具体的治疗计划。
