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Kardiologie up2date 2010; 6(1): 11-18
DOI: 10.1055/s-0029-1243954
Hotline – Herzinsuffizienz

© Georg Thieme Verlag KG Stuttgart · New York

Besonderheiten bei der Behandlung der chronischen Herzinsuffizienz im Alter

Markus  Haass, Andrea  Radzewitz, Simon  Walter, Eckart  Miche
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Publication History

Publication Date:
23 March 2010 (online)

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Abstract

Incidence and prevalence as well as mortality are increasing with age in patients with chronic heart failure. Currently already half of the patients with heart failure are at least 75 years old. Numerous comorbidities, a declining renal and liver function and geriatric specifics require a thorough diagnosis and an individualised therapeutic management. The prognostic benefit of ACE inhibitors, sartans, aldosterone antagonists, and beta-blockers appears to be less in elderly with chronic heart failure and is only partially supported by controlled studies. Nevertheless, heart failure management in older patients should follow the current guidelines. This also applies to CRT therapy and ICD implantation. Training and specific education programs as well as multidisciplinary approaches should be a component of heart failure management in the elderly. However, the individual desires and views have to be acknowledged: preservation of a high qualtity of life and a high level of independence are often more important for the elderly as an improvement in prognosis, although the individual desire for an extension of the life expectancy should not be underestimated.

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Prof. Dr. med. Markus Haass

Innere Medizin I (Kardiologie, Angiologie und Internistische Intensivmedizin)
Theresienkrankenhaus

Bassermannstr. 1
68165 Mannheim

Email: m.haass@theresienkrankenhaus.de

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