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Diastolic heart failure in the elderly

Jeffrey H. Barsuk William G. Cotts

老年心脏病学杂志(英文版)2006,Vol.3Issue(4):210-221,12.
老年心脏病学杂志(英文版)2006,Vol.3Issue(4):210-221,12.

Diastolic heart failure in the elderly

Diastolic heart failure in the elderly

Jeffrey H. Barsuk 1William G. Cotts2

作者信息

  • 1. Division of General Internal Medicine, Section of Hospital Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, IL, USA
  • 2. Division of Cardiology, Center for Heart Failure, Northwestern University Feinberg School of Medicine, IL, USA
  • 折叠

摘要

Abstract

Heart failure with preserved left ventricular function is a common problem among elderly patients. Given that diastolic heart failure (DHF) occurs in up to 50% of all heart failure admissions, and that incidence increases with age, knowledge of current recommendations for its diagnosis and treatment are extremely important for the elderly population. Causes of DHF include the aging process itself, hypertension, left ventricular hypertrophy, aortic stenosis, and hypertrophic obstructive cardiomyopathy. The patient with DHF may present with signs and symptoms similar to those observed in systolic heart failure. Treatment goals for the patient with DHF include achieving normal volume status, improving relaxation of the left ventricle, regression of hypertrophy if possible, and management of any co-morbidities that may aggravate the clinical status of patients with DHF. Hopefully, in the future, further data from randomized clinical trials will allow a more defined approach to care in these patients.

关键词

diastolic dysfunction/elderly/heart failure/left ventricular hypertrophy/aging

Key words

diastolic dysfunction/elderly/heart failure/left ventricular hypertrophy/aging

分类

医药卫生

引用本文复制引用

Jeffrey H. Barsuk,William G. Cotts..Diastolic heart failure in the elderly[J].老年心脏病学杂志(英文版),2006,3(4):210-221,12.

老年心脏病学杂志(英文版)

1671-5411

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