Russian Heart Failure Journal 2006year Peculiarities of clinical presentation, diagnostics and prediction of chronic heart failure in hospitalized senile patients


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2006/

Peculiarities of clinical presentation, diagnostics and prediction of chronic heart failure in hospitalized senile patients

Sitnikova M.Yu., Lelyavina T.A., Shlyakhto E.V., Smirnov B.I., Vologdina I.V.

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Aim of study. Evaluating the CHF prevalence and severity in senile patients using standard diagnostic methods and quantitative measurement of brain natriuretic peptide (BNP); comparing the prognostic value of differentmethods.Study methods. Non-selective clinico-statistical analysis of 1000 in-patient case reports of patients older than 75 years. Evaluation of 104 patients older than 75 years who have been observed at the cardiological unit of multi-discipline hospital with 1.5-year follow up. Results. CHF has occurred in 85% of hospitalized senile patients. Its course is complicated with multiple concurrent conditions. Evaluation of CHF severity in senile patients based on the existing ТШХ standards was modestly informative. Plasma level of BNP was increased in 95% of senile patients with CHF and demonstrated the highest predictive power with respect of 1.5-year survival. Key words: diagnosis and prediction of CHF; senile age; 6-min walking test; brain natriuretic peptide.

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