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[80岁以上患者的心力衰竭]

[Heart failure in patients over 80 years old].

作者信息

Berthelot Emmanuelle, Nouhaud Charlotte, Lafuente-Lafuente Carmelo, Assayag Patrick, Hittinger Luc

机构信息

AP-HP, hôpital Bicêtre, service de cardiologie, 94270 Le Kremlin-Bicêtre, France.

AP-HP, hôpital Louis-Mourier, service de gériatrie, 92700 Colombes, France.

出版信息

Presse Med. 2019 Feb;48(2):143-153. doi: 10.1016/j.lpm.2019.02.001. Epub 2019 Feb 22.

Abstract

Heart failure (HF) is a clinical syndrome that associates clinical signs in people over 80 years of age, an increase in natriuretic peptides and abnormal cardiac structures that result from cardiac aging in many cases. The most common symptoms are grouped according to the acronym "EPOF" (shortness of breath, weight gain, edema, fatigue). Over the age of 80, comorbidities must be taken into account. The incidence and prevalence of HF significantly increases with age and makes HF the most common reason for hospitalization for people over 80, and an important health expense. The management of HF, necessarily multidisciplinary with a geriatric evaluation, has improved over time due to effective targeted treatment, but mortality, hospitalization and readmission rates remain high. Therapeutic education and patient follow-up for treatment optimization are needed.

摘要

心力衰竭(HF)是一种临床综合征,在80岁以上人群中伴有临床体征,利钠肽增加,且在许多情况下因心脏老化导致心脏结构异常。最常见的症状按照首字母缩写词“EPOF”进行分类(呼吸急促、体重增加、水肿、疲劳)。80岁以上人群必须考虑合并症。心力衰竭的发病率和患病率随年龄显著增加,使心力衰竭成为80岁以上人群住院的最常见原因,也是一项重要的医疗费用支出。心力衰竭的管理必然是多学科的,并需进行老年评估,随着时间推移,由于有效的靶向治疗,其管理有所改善,但死亡率、住院率和再入院率仍然很高。需要进行治疗教育和患者随访以优化治疗。

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