Heart Failure with Preserved Ejection Fraction in Older Adults

被引:22
作者
Chen, Michael A. [1 ]
机构
[1] Univ Washington, Harborview Med Ctr, Div Cardiol, Seattle, WA 98104 USA
关键词
Aging; Diastolic heart failure; Heart failure; Heart failure with preserved ejection fraction; LEFT-VENTRICULAR HYPERTROPHY; CONVERTING ENZYME-INHIBITORS; TRIAL INVESTIGATING OUTCOMES; TRAINING HF-ACTION; ELDERLY-PATIENTS; STATIN THERAPY; BLOOD-PRESSURE; DOUBLE-BLIND; MYOCARDIAL-INFARCTION; ISOSORBIDE DINITRATE;
D O I
10.1016/j.amjmed.2009.01.038
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Age-associated physiologic changes predispose older adults to develop heart failure, even when left ventricular ejection fraction is normal or near normal. Heart failure with a preserved ejection fraction is particularly common in older hypertensive women, and hypertension plays a key role in its pathophysiology. In contrast with heart failure with a reduced ejection fraction, the treatment of heart failure with a preserved ejection fraction has a limited empiric basis, although some basic principles are useful. Ongoing studies provide hope of improving care of these patients. (C) 2009 Elsevier Inc. All rights reserved. The American Journal of Medicine (2009) 122, 713-723
引用
收藏
页码:713 / 723
页数:11
相关论文
共 117 条
[1]
Digoxin and reduction in mortality and hospitalization in heart failure:: a comprehensive post hoc analysis of the DIG trial [J].
Ahmed, A ;
Rich, MW ;
Love, TE ;
Lloyd-Jones, DM ;
Aban, IB ;
Colucci, WS ;
Adams, KF ;
Gheorghiade, M .
EUROPEAN HEART JOURNAL, 2006, 27 (02) :178-186
[2]
Effects of digoxin on morbidity and mortality in diastolic heart failure: The ancillary Digitalis Investigation Group trial [J].
Ahmed, Ali ;
Rich, Michael W. ;
Fleg, Jerome L. ;
Zile, Michael R. ;
Young, James B. ;
Kitzman, Dalane W. ;
Love, Thomas E. ;
Aronow, Wilbert S. ;
Adams, Kirkwood F., Jr. ;
Gheorghiade, Mihai .
CIRCULATION, 2006, 114 (05) :397-403
[3]
ALVARES R, 1982, BRIT HEART J, V48, P204
[4]
*AM HEART ASS, 2007, HEART DIS STROK STAT
[5]
AMERY A, 1985, LANCET, V1, P1349
[6]
Meta-analysis: Inhibition of renin-angiotensin system prevents new-onset atrial fibrillation [J].
Anand, Kishlay ;
Mooss, Aryan N. ;
Hee, Tom T. ;
Mohiuddin, Syed M. .
AMERICAN HEART JOURNAL, 2006, 152 (02) :217-222
[7]
SPECTRUM AND OUTCOME OF CONGESTIVE-HEART-FAILURE IN A HOSPITALIZED POPULATION [J].
ANDERSSON, B ;
WAAGSTEIN, F .
AMERICAN HEART JOURNAL, 1993, 126 (03) :632-640
[8]
[Anonymous], 1991, JAMA, V265, P3255
[9]
[Anonymous], ALDOSTERONE ANTAGONI
[10]
Prevention of heart failure in patients in the Heart Outcomes Prevention Evaluation (HOPE) study [J].
Arnold, JMO ;
Yusuf, S ;
Young, J ;
Mathew, J ;
Johnstone, D ;
Avezum, A ;
Lonn, E ;
Pogue, J ;
Bosch, J .
CIRCULATION, 2003, 107 (09) :1284-1290