Heart failure in frail, older patients: we can do 'MORE'.
نویسندگان
چکیده
A comprehensive approach is necessary in managing heart failure in frail older adults. To provide optimal care, physicians need to draw on knowledge from the fields of internal medicine, geriatrics, and cardiology. The acronym "MORE" is a mnemonic for what heart failure management should include: multidisciplinary care, attention to other (ie, comorbid) diseases, restrictions (of salt, fluid, and alcohol), and discussion of end-of-life issues.
منابع مشابه
Drug therapy for heart failure in older patients—what do they want?
Chronic heart failure (CHF) is predominantly seen in older patients, and therefore real life medicine often requires the extrapolation of findings from trials conducted in much younger populations. Prescribing patterns and potential benefits in the elderly are heavily influenced by polypharmacy and co-morbid pathologies. Increasing longevity may become less relevant in the frail elderly, wherea...
متن کامل[Evidence-based versus evidence-biased medicine].
Due to a burden of multiple chronic diseases, older patients are the greatest consumers of healthcare resources. However, randomized clinical trials (RCT) have excluded most older patients for many reasons, ranging from comorbidities to disability or cognitive impairment. Systematic reviews demonstrate that such stringent exclusion criteria, frequently poorly justified, are still adopted by ong...
متن کاملCardiac Resynchronization Therapy in the Autumn of Life.
T o implant or not to implant a primary prevention implantable-cardioverter defibrillator (ICD) in older patients is a question that has challenged clinicians for years. On the one hand, the ICD is a highly effective therapy for the prevention of sudden cardiac death. On the other hand, there are no definitive data regarding the benefit of the ICD in older patients. Indeed, in the pivotal rando...
متن کاملAn Integrative Review of the Psychosocial Impacts of COVID-19 on Frail Older Adults: Lessons to Be Learned in Pandemics
Introduction: The COVID-19 pandemic has inflicted tremendous pressure on people, including older adults. Frail older adults are more susceptible to the adverse consequences of the pandemic. Although many studies have investigated the susceptibility and poor medical outcomes of COVID-19 in frail people, a few studies have explored the psychosocial effects of the pandemic on this group of vulnera...
متن کاملCongestive heart failure in older adults.
T he frail elderly patient population is characterized not only by age, but also by the inadequacy of the office-based medical model to meet their needs when they can no longer regularly reach the physician’s office. Diagnosis and treatment is difficult because we are often called to see new patients with presenting symptoms of congestive heart failure (CHF) that are precipitated by one of many...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Cleveland Clinic journal of medicine
دوره 78 12 شماره
صفحات -
تاریخ انتشار 2011