Weber K T, Hughes J, Manglal-Lan E, Blakeley C, Heaney L, Pacholik C
Geriatrics. 1987 May;42(5):65-9, 72-3, 76.
Heart failure is a major health problem, particularly among the elderly who experience the long term consequence of coronary artery disease. Over the past several years, the heart failure program at Michael Reese Hospital has seen a large number of elderly patients with heart failure. Two-thirds of these patients had a previous myocardial infarction, while 20% had an idiopathic (dilated) cardiomyopathy. Herein, we review that experience, focusing particularly on clinical presentation, our non-invasive approach to objectively determining their functional capacity and the severity of their failure, and, finally, a consideration of the various aspects of their medical management.
心力衰竭是一个重大的健康问题，在经历冠状动脉疾病长期后果的老年人中尤为如此。在过去几年里，迈克尔·里斯医院的心力衰竭项目接收了大量老年心力衰竭患者。这些患者中有三分之二曾有过心肌梗死，而20%患有特发性（扩张型）心肌病。在此，我们回顾这段经历，特别关注临床表现、我们客观确定其功能能力和心力衰竭严重程度的非侵入性方法，以及最后对其药物治疗各个方面的考量。
