Chronic Diseases in Geriatric Patients

Book Series: Recent Advances in Geriatric Medicine

Volume 1


Tuck Yean Yong

DOI: 10.2174/97816810824551160101
eISBN: 978-1-68108-245-5, 2016
ISBN: 978-1-68108-246-2
ISSN: 2468-2241 (Print)
ISSN: 2468-225X (Online)

Indexed in: EBSCO.

The incidence of multiple chronic diseases affecting a single individual is high among elderly patients. This incidence...[view complete introduction]
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Treating the “Young at Heart”: Management of Heart Failure in the Older Population

- Pp. 17-33 (17)

Tuck Yean Yong and Kareeann Sok Fun Khow


The prevalence of heart failure rises with increasing age. Although patients with heart failure are mainly elderly (age ≥65 years), evidence for efficacious diagnostic and therapeutic approaches are limited in this population. Diagnosis of heart failure in older people is challenging because of comorbidities masking symptoms and signs; different diagnostic cut-offs of natriuretic peptides; and the high prevalence of heart failure with preserved ejection fraction (HFPEF). Geriatric syndromes (such as cognitive impairment, frailty, falls and incontinence) are common in heart failure and can affect patients’ prognosis. In older patients with reduced ejection fraction, angiotensin-converting enzyme inhibitors, angiotensin receptor blockers and betablockers have improved clinical outcomes. However no therapeutic strategy has yet been found to improve prognosis of HFPEF which affect many older people.

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