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- Title
Heart failure management in the elderly - a public health challenge.
- Authors
Cvetinovic, Natasa; Loncar, Goran; Farkas, Jerneja
- Abstract
Heart failure (HF) is a rapidly growing public health problem and the leading cause of morbidity, mortality, and hospitalization in populations > 65 years. The elderly HF patients have an increased prevalence of HF with preserved ejection fraction and comorbidities, may present with atypical symptoms and signs, have a higher risk for adverse drug reactions, and worse prognosis as compared with younger patients. Moreover, there is a lack of evidence-based therapies for this population because they are underrepresented in the clinical trials. The elderly are less likely to be evaluated by a cardiologist and to be treated in accordance with recommendations of the current HF guidelines. Although the treatment is improving, it is still suboptimal; therefore, HF in elderly patients requires mobilization of public health services and improvement of treatment strategies.
- Subjects
HEART failure; PUBLIC health; HEART disease related mortality; COMORBIDITY; HOSPITAL care; GERIATRIC cardiology; MANAGEMENT
- Publication
Wiener Klinische Wochenschrift, 2016, Vol 128, p466
- ISSN
0043-5325
- Publication type
Article
- DOI
10.1007/s00508-016-1138-y