Beishon Lucy, Jayasinghe Rebecca, Roshan-Zamir Shahbaz, Barton Carys
NIHR Academic Clinical Lecturer NIHR Leicester Biomedical Research Centre, BHF Cardiovascular Research Centre, Glenfield Hospital, Groby Road, Leicester, LE3 9QP.
Geriatrics and GIM Higher Specialty Trainee.
Br J Cardiol. 2024 Jun 11;31(2):022. doi: 10.5837/bjc.2024.022. eCollection 2024.
Heart failure (HF) is a major cause of morbidity and mortality in older people, and 80% of people with HF are aged over 60 years. HF is the end point for almost all common cardiovascular diseases, as well as many non-cardiovascular diseases. Despite this, HF remains underdetected and undertreated. Detection and treatment of HF has improved significantly in recent years, with several novel treatments developed in the last decade improving outcomes for patients. Therefore, earlier detection and improved treatment of HF has the potential to reduce morbidity and mortality for older people, particularly given the shift in ageing demographics anticipated over the coming decades. The British Geriatrics Society Cardiovascular Specialist Interest Group recently participated in the British Society for Heart Failure (BSH) '25in25' Heart Failure Summit, which aims to reduce deaths due to HF by 25% in the next 25 years. The 2023 summit comprised experts from over 45 top health organisations across Europe, Canada and the US. The summit brought together cross-disciplinary expertise to support the implementation of strategies to improve outcomes for people living with HF, and, in this commentary, we reflect upon the priorities identified. We discuss the current barriers to the early detection and management of HF, and the particular challenges and complexity of managing HF in older people. Finally, we discuss the role of patient empowerment and how this can lead to improved care for older people living with HF.
心力衰竭（HF）是老年人发病和死亡的主要原因，80%的心力衰竭患者年龄超过60岁。心力衰竭是几乎所有常见心血管疾病以及许多非心血管疾病的终点。尽管如此，心力衰竭的检测和治疗仍然不足。近年来，心力衰竭的检测和治疗有了显著改善，过去十年开发的几种新疗法改善了患者的预后。因此，早期检测和改善心力衰竭的治疗有可能降低老年人的发病率和死亡率，特别是考虑到未来几十年预期的人口老龄化趋势。英国老年医学会心血管专科兴趣小组最近参加了英国心力衰竭协会（BSH）的“25年内在25年内”心力衰竭峰会，该峰会旨在在未来25年内将心力衰竭导致的死亡人数减少25%。2023年的峰会汇聚了来自欧洲、加拿大和美国45多个顶级健康组织的专家。峰会汇集了跨学科专业知识，以支持实施改善心力衰竭患者预后的策略，在本评论中，我们反思了确定的优先事项。我们讨论了目前心力衰竭早期检测和管理的障碍，以及老年人管理心力衰竭的特殊挑战和复杂性。最后，我们讨论了患者赋权的作用以及这如何能够改善对老年心力衰竭患者的护理。
