Russian Heart Failure Journal 2009year Cordial and extracardiac comorbidity in elderly and senile patients with systolic and diastolic chronic heart failure


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2009/

Cordial and extracardiac comorbidity in elderly and senile patients with systolic and diastolic chronic heart failure

Solomahina N.I.

Keywords: diastolic CHF, comorbidity, old age, systolic CHF

DOI:

Urgency. Results of physical examination does not let find out the difference between patients with systolic chronic heart failure (S-CHF) and dyastolic chronic heart failure (D-CHF). Aim. To compare frequency and nature of cordial and extracardiac comorbidity in elderly and senile patients. Materials and methods. Anamnesis, clinical data, results of examionation of 167 patients in Hospital of war veterans № 1 (Moscow) aged fom 65 to 99, hospitalised with CHF decompensation during the period since 2004 to 2007. Analise of medical documentation was concentratd on revelation of cordial and extracardiac disorders. Results. Patients with S-CHF are mostly men, smokers (40,7 %), alcohol abused (22,2 %), with significant exercise stress (sport or manual labour in 9,9 %), with MI in anamnesis (85,2 %), including recurring (33,3 %). Patients with D-CHF are mostly women with marked metabolic disorders (overweight or obesity, diabetus mellitus or impaired glucose tolerance), mostly with arterial hypertension (76,7 %). Among patients with D–CHF there were 2 times less patients with MI (37,2 %) and 6 times less with reccuring MI (5,8 %). As extracardiac disorders patients with S-CHF mostly have chronic obstructive pulmonary disease (34,6 %) and obliterating atherosclerosis of the lower extremities vessels (23,5 %), patients with D-CHF – pneumonia (23,6 %) and lower extremity varicose veins disease (40,7 %).
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