老年人心力衰竭的流行病学、病理生理学及预后

Epidemiology, Pathophysiology, and Prognosis of Heart Failure in Older Adults.

作者信息

Dharmarajan Kumar, Rich Michael W

机构信息

Section of Cardiovascular Medicine, Department of Internal Medicine, Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, Yale University School of Medicine, 1 Church Street, Suite 200, New Haven, CT 06510, USA.

Division of Cardiology, Department of Internal Medicine, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8086, St Louis, MO 63110, USA.

出版信息

Heart Fail Clin. 2017 Jul;13(3):417-426. doi: 10.1016/j.hfc.2017.02.001.

DOI:10.1016/j.hfc.2017.02.001

PMID:28602363

Abstract

Heart failure is the quintessential cardiovascular syndrome of aging that results from common cardiovascular conditions in older adults in conjunction with age-associated changes in cardiovascular structure and function. To a large extent, heart failure is a geriatric syndrome in much the same way that dementia, falls, and frailty are geriatric syndromes. The incidence and prevalence of heart failure increase strikingly with age and make heart failure the most common reason for hospitalization among older adults. Although outcomes for older adults with heart failure have improved over time, mortality, hospitalization, and rehospitalization rates remain high.

摘要

心力衰竭是典型的衰老心血管综合征，由老年人常见的心血管疾病以及心血管结构和功能的年龄相关变化共同导致。在很大程度上，心力衰竭是一种老年综合征，与痴呆、跌倒和衰弱等老年综合征类似。心力衰竭的发病率和患病率随年龄显著增加，使其成为老年人住院的最常见原因。尽管随着时间推移，老年心力衰竭患者的预后有所改善，但死亡率、住院率和再住院率仍然很高。