Heart failure is common in eldery patients but may be very difficult to treat due to the presence of polypharmacy, multipple commorbid diagnose and agreater susceptibility to adverse events. However, few data are available to quantify the range and extent of these underlying problems as fail eldery patients are seldom included in major heart failure clinical trials.
This retrospective study highlights some of the diagnostic and management difficulties associated with heart failure in the frail older patients. Although the numbers studied are relatively smal and the data collected were from routine daily practice. The study ilustrates a number of important issues in the very old heart failur patients. Although the majority of the findings are not new, the study provides quantitative data on polypharmacy, incontinence, cognitive disfunction and depresion in the eldery heart failure patiens. Awareness of the extent and implication of these associated factors may facillitate optimum management.
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