Russian Heart Failure Journal 2011year Chronic heart failure in 75+ year old outpatients


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2011/

Chronic heart failure in 75+ year old outpatients

Temnikova E. A.

Keywords: outpatients, age, clinical picture, CHF

DOI: 10.18087/ rhfj.2011.6.1593

Relevance. CHF rate increases with years, however there are not much data concerning CHF diagnosis in 75+ year old patients. Purpose. The estimation of clinical implications and study of issues of CHF diagnosis in 75+ year old patient, supervised in local outpatient clinics. Materials and methods. Open-label cross-sectional observational clinical study of 440 patients of regional territorial polyclinics for studying of clinical picture of CHF in 75+ year old outpatients was carried out. Results. Frequency rate of basic clinical signs of CHF in the studied subjects was found to be comparable with the referential data for other age groups. Number of CHF symptoms was revealed to be correlated with an available comorbidity (bronchopulmonary diseases and rhythm disturbances). Additional outpatient inspections appeared to be less informative, because of discrepancy of the result description to criteria necessary for CHF diagnosis and technical problems of the study. Thus, as none of HF symptoms are specific, and additional study is not always accessible and informative, a doctor’s basic diagnostic problem in senior patients is still attentive examination with use of classical methods of checkup.

  1. Современная демографическая ситуация в Российской Федерации. Доступно на: http://www.gks.ru / wps / wcm / connect / rosstat / ros­stat­site / main / population / demography / (дата обращения 14.07.2011).
  2. Imazio M, Cotroneo A, Gaschino G et al. Management of heart failure in elderly people. Int J Clin Pract. 2008;62 (2):270–280.
  3. Фомин И. В., Беленков Ю. Н., Мареев В. Ю. и др. Распространенность хронической сердечной недостаточности в Европейской части Российской Федерации – данные ЭПОХА–ХСН. Журнал Сердечная Недостаточность. 2006;7 (3):112–115.
  4. Tresch DD. Clinical manifestations, diagnostic assessment, and etiology of heart failure in elderly patients. Clin Geriatr Med. 2000;16 (3):445–456.
  5. Petrie MC, Berry C, Stewart S, McMurray JJ. Failing ageing hearts. Eur Heart J. 2001;22 (21):1978–1990.
  6. Heiat A, Gross CP, Krumholz HM. Representation of the Elderly, Women, and Minorities in Heart Failure CLinical Trials. Arch Intern Med. 2002;162 (15):1682–1688.
  7. Ahmed A. DEFEAT heart failure: clinical manifestations, diagnostic assessment, and etiology of geriatric heart failure. Heart Fail Clin. 2007;3 (4):389–402.
  8. Meinert CL, Gilpin AK, Unalp A, Dawson C. Gender representation in trials. Control Clin Trials. 2000;21 (5):462–475.
  9. Hoppe BL, Hermann DD. Sex differences in the causes and natural history of heart failure. Epidemiology and pathophysiology of heart failure. Curr Cardiol Rep. 2003;5 (3):193–199.
  10. Tandon S, Hankins SR, Le Jemtel TH. Clinical profile of chronic heart in elderly women. Am J Geriatr Cardiol. 2002;11 (5):318–323.
  11. Национальные Рекомендации ВНОК И ОССН по диагностике и ле­чению ХСН (третий пересмотр) [электронный ресурс] Доступно на: http://medic.ossn.ru / activity / man / lfnf (дата обращения 18.04.2011)
  12. Dickstein K, Cohen-Solal A, Filippatos G et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM). Eur Heart J. 2008;29 (19):2388–2442.
  13. Hunt SA, Abraham WT, Chin MH et al. ACC / AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult: a report of the American College of Cardiology / American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 2001 Guidelines for the Evaluation and Management of Heart Failure): developed in collaboration with the American College of Chest Physicians and the International Society for Heart and Lung Transplantation: endorsed by the Heart Rhythm Society. Circulation. 2005;112 (12):e154–235.
  14. Hunt SA, Abraham WT, Chin MH et al. 2009 focused update incorporated into the ACC / AHA 2005 Guidelines for the Diagnosis and Management of Heart Failure in Adults: a report of the American College of Cardiology Foundation / American Heart Association Task Force on Practice Guidelines: developed in collaboration with the International Society for Heart and Lung Transplantation. Circulation. 2009 Apr 14;119 (14):e391–479.
  15. Мареев В. Ю., Даниелян М. О., Беленков Ю. Н. Сравнительная характеристика больных ХСН в зависимости от величины фракции выброса по результатам Российского многоцентрового исследования ЭПОХА–О–ХСН: снова о проблеме ХСН с сохранной систолической функцией левого желудочка. Журнал Сердечная Недостаточность. 2006;7 (4):164–171.
  16. Агеев Ф. Т., Арутюнов Г. П., Беленков Ю. Н. и др. Хроническая сердечная недостаточность. – М., «ГЭОТАР-Медиа», 2010. – 336с.
  17. Беленков Ю. Н., Мареев В. Ю. Как мы диагностируем и лечим сердечную недостаточность в реальной клинической практике в начале XXI века? Результаты исследования IMPROVEMENT HF. Consilium Medicum. 2001;3 (2):65–72.
  18. Pfisterer M, Buser P, Rickli H et al. BNP-guided vs symptom-guided heart failure therapy: the Trial of Intensified vs Standard Medical Therapy in Elderly Patients With Congestive Heart Failure (TIME-CHF) rando­mized trial. JAMA. 2009;301 (4):383–392.
  19. Vaes B, de Ruijter W, Gussekloo J, Degryse J. The accuracy of plasma natriuretic peptide levels for diagnosis of cardiac dysfunction and chronic heart failure in community-dwelling elderly: a systematic review. Age Ageing. 2009;38 (6):655–662.
  20. Hood S, Taylor S, Roeves A t al. Are there age and sex differences in the investigation and treatment of heart failure? A population-based study. Br J Gen Pract. 2000;50 (456):559–563.
  21. Cox NLT, Sainsbury P, McLenachan JaM. Investigatiing heart failure in elderly people: does everyone need an echocardiogram? Age and Ageing. 1998;27 (3):291–295.
  22. Hendry A, Hacking L, Langhorne P et al. Evaluation of echocardiography in the management of elderly patients with heart failure. Age Ageing. 1999;28 (5):447–450.
  23. Gillespie ND, Darbar D, Struthers AD et al. Heart failure: a diagnostic and therapeutic dilemma in elderly patients. Age Ageing. 1998;27 (4):539–543.
  24. Struthers AD. Health care delivery for chronic congestive heart failure in the UK. Curr Opin Cardiol. 1994;9 (Suppl 1):S12–15.
  25. Gillespie N, McMurdo MET, Ghosh UK et al. The assessment of left ventricular systolic function by portable echocardiography at the day hospital. Age Ageing. 1997;26 (Suppl 1):21–22.
  26. Беленков Ю. Н., Мареев В. Ю., Агеев Ф. Т., Данелиян М. О. Первые результаты национального эпидемиологического исследования – ЭПидемиологическое Обследование больныХ ХСН в реальной прАктике (по Обращаемости) – ЭПОХА–О–ХСН. Журнал сердечная недостаточность. 2003;3 (3):116–120.
  27. Morgan S, Smith H, Simpson I et al. Prevalence and clinical characteristics of left ventricular dysfunction among elderly patients in a general practice setting: cross-sectional survey. BMJ. 1999;318 (7180):368–372.
  28. Zile MR, Brutsaert DL. New concepts in diastolic dysfunction and diastolic heart failure: Part II: causal mechanisms and treatment. Circulation. 2002;105 (12):1503–1508.
  29. Senni M, Tribouilloy CM, Rodeheffer RJ et al. Heart failure with preserved systolic function. A different natural history? J Am Coll Cardiol. 2001;38 (5):1277–1282.
Temnikova E.A. Chronic heart failure in 75+ year old outpatients. Russian Heart Failure Journal. 2011;12(6):339-343.

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