Chronic heart failure in older adults |
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| Authors: | Ahmed Ali |
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| Institution: | a Divisions of Gerontology, Geriatrics and Palliative Care, and Cardiovascular Disease, Department of Medicine, School of Medicine; Department of Epidemiology, School of Public Health; Center for Aging; Center for Heart Failure Research; Center for Cardiovascular Biology; and Geriatric Heart Failure Clinic; University of Alabama at Birmingham, 1530 3rd Avenue South, CH19-219, Birmingham, AL 35294-2041, USA
b Section of Geriatrics and Geriatric Heart Failure Clinic, Veterans Affairs Medical Center, 700 19th Street South, Birmingham, AL 35233, USA |
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| Abstract: | Assessment and management of heart failure (HF) in older adults may be simplified and structured by the mnemonic DEFEAT-HF: Diagnosis, Etiology, Fluid volume, Ejection fraction, And Treatment of Heart Failure. A clinical diagnosis and etiology of HF can often be established during history and physical examination. Fluid volume status must be assessed by estimating jugular venous pressure in centimeters of water by identifying the top of the jugular venous pulsation in the neck and estimating its vertical height from the right atrium. Left ventricular ejection fraction must be obtained to classify patients into systolic and diastolic HF and to guide evidence-based therapy. |
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| Keywords: | Geriatric heart failure Diagnosis Etiology Fluid volume assessment Ejection fraction Treatment |
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