Russian Heart Failure Journal 2011year Etiological factors of chronic heart failure and comorbid diseases in outpatients 75 years and older
Etiological factors of chronic heart failure and comorbid diseases in outpatients 75 years and older
Temnikova E. A, Nechaeva G. I.
Keywords: etiology, heart failure, comorbidity, outpatients, elderly
Background. Old and elderly patients are the significant part of patients with CHF. However old age and comorbid diseases are as a rule exclusion criteria in clinical trials, so there is few information about HF features in this group of patients. Objective. To study etiologic factors of CHF and comorbid diseases in outpatients 75 years or older. Materials and methods. This open cross sectional observational clinical study included 440 patients aged 75 years and older with diagnosis of CHF fr om territorial clinics. Results. The main causes of heart failure in the study sample were hypertension, coronary artery disease or their combination. The most common concomitant diseases were circulatory encephalopathy (CE), osteoarthritis, and chronic obstructive pulmonary disease (COPD). COPD was associated with more frequent detection of clinical symptoms of CHF, and CE – with changes in quality of life (QoL) with reduced physical activity, but greater emotional stability. Comorbidity was associated with polytherapy, leading to limitations of CHF treatment due to some drugs for opportunistic diseases. Another problem was low complience. Thus outpatients 75 years and older with CHF are characterized by a significant number of concomitant diseases and high prevalence of comorbid diseases, which significantly lim it patients ability for self-service and reduce complience.
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Temnikova E.A., Nechaeva G.I. Etiological factors of chronic heart failure and comorbid diseases in outpatients 75 years and older. Russian Heart Failure Journal. 2011;12(4):191-195.