Martín-Sánchez F Javier, Rodríguez-Adrada Esther, Llorens Pere, Formiga Francesc
Servicio de Urgencias, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, España.
Servicio de Urgencias, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, España.
Rev Esp Geriatr Gerontol. 2015 Jul-Aug;50(4):185-94. doi: 10.1016/j.regg.2015.02.005. Epub 2015 May 8.
Acute heart failure is a high prevalence geriatric syndrome that has become one of the most frequent causes of visits to emergency departments, as well as hospital admission, and is associated with high morbidity, mortality and functional impairment. There has been an increasing amount of information published in recent years on the initial management of acute heart failure and the results of the short-term outcomes, as well as the natural history of the disease. The objective of this study is to provide several recommendations that should be taken into account in the initial management of the elderly patient with acute heart failure in the emergency departments, and to review the most interesting currently on-going clinical trials.
急性心力衰竭是一种高发性老年综合征,已成为急诊就诊以及住院治疗最常见的原因之一,且与高发病率、高死亡率及功能障碍相关。近年来,关于急性心力衰竭的初始治疗、短期预后结果以及疾病自然史的信息不断增加。本研究的目的是提供一些在急诊科对老年急性心力衰竭患者进行初始治疗时应考虑的建议,并回顾目前正在进行的最具意义的临床试验。