Congestive Heart Failure in the Elderly

Luchi, Robert J.; Taffet, George E.; Teasdale, Thomas A.

doi:10.1111/j.1532-5415.1991.tb02705.x

Cited by 67 publications

(25 citation statements)

References 167 publications

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“…This reversed in the over 80 group and CHF became actually twice as frequent. The significant (p = .002) increase supports our previous findings (7,12). This study implies that Mis are fatal at an earlier age, and that infarct-free persons who survive to over age 80 probably have better coronary arteries.…”

Section: Discussionsupporting

confidence: 81%

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Causes of Death in Geriatric Patients A Cross-Cultural Study

Klima

Povýšil

Teasdale

1997

The Journals of Gerontology Series A: Biological Sciences and M

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Section: Discussionsupporting

confidence: 81%

“…-In the Houston series, CHF comprises 10.2% of the cardiac causes in the "under 80" group, rising to 20.6% in the "over 80" group (Table 3). This significant (.002) increase with age echoes prior findings (7). No statistically significant difference was seen between Table 3.…”

Section: Resultssupporting

confidence: 73%

Causes of Death in Geriatric Patients A Cross-Cultural Study

Klima

Povýšil

Teasdale

1997

The Journals of Gerontology Series A: Biological Sciences and M

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“…In particular, the prevalence of 6.1% that has been found in the present study compares well with data from previous, large epidemiological surveys carried out at the general population level, in spite of the different criteria adopted to define CF (Eriksson et al, 1989;Gillum, 1993;Ho et al, 1993). Interestingly, an identical prevalence of 6.0% has already been reported among community-dwelling individuals aged 65 + years in the USA (Luchi et al, 1991). Furthermore, it was confirmed that the prevalence of CF increases stepwise with age even through a single decade, and that at older ages it tends to be higher among women than men (Ho et al, 1993).…”

Section: Discussionsupporting

confidence: 89%

Variable effect of comorbidity on the association of chronic cardiac failure with disability in community-dwelling older persons

Marchionni

Bari

Fumagalli

et al. 1996

Archives of Gerontology and Geriatrics

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The effect of cardiac failure (CF) and comorbidity on disability in older persons was studied in a cross-sectional survey. The whole population aged 65 + years (n = 652; 628 eligible) living in a small town near Florence (Italy) was enrolled. Finally, 459 individuals (73.0% of eligible) underwent a multidimensional evaluation. CF was defined as a NYHA H-IV class in the presence of an obviously abnormal ECG. Disability was assessed by the 14-item WHO scale. Comorbid conditions that had a prevalence > 5% and might be considered pathophysiologically unrelated to CF were also identified. The univariate association of CF with disability was analyzed. Multivariate associations were estimated as well, by taking simultaneously into account the effect of comorbid conditions that had an independent effect on disability and were considered as either confounders or effect modifiers of that association. Prevalence of CF [6.1% in the whole study population) was higher with advancing age (> 75 years: 8.3 versus 65-74 years: 4.5%, odds ratio, OR: 1.93, 95% Marchionni et al. , Arch. Gerontol. Geriatr. 23 (1996) 283 292 confidence interval, CI: 1.02 4.18), in the presence of hypertension (OR: 2.87, 95% CI: 1.32-6.23), and among individuals who were living alone (OR: 2.44, 95% CI: 1.10-5.56). CF was associated with a higher prevalence of disability (38.5 versus 19.5%; OR 2.67, 95% CI: 1.21 5.92). Comorbidity modified the association of CF with disability following two patterns: while the independent effect of CF on the prevalence of disability was similar in the absence or in the presence of chronic obstructive pulmonary disease, hearing impairment, gastrointestinal tract disease, or osteoarthritis, such effect was much larger in the presence than in the absence of visual impairment, previous stroke, or urinary incontinence. The composite pathophysiological pathways of such different interactions are still to be elucidated.

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“…1 The main reasons why CHF is less frequently detected are the non-specific symptoms, comorbidity and limited access to echocardiography. [2][3][4] On the other hand, in some residents the diagnosis of CHF is made while their symptoms are caused by other disorders. Both undetected diagnosis and incorrect diagnosis will lead to inadequate treatment of the underlying disease, and will impair the quality of life.…”

mentioning

confidence: 99%

Prevalence and misdiagnosis of chronic heart failure in nursing home residents: the role of B-type natriuretic peptides

Barents¹,

Horst²,

Voors³

et al. 2008

NHJL

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Background/objectives. Without knowing the exact CHF prevalence, chronic heart failure (CHF) occurs frequently in elderly people both inside and outside nursing homes. For a diagnosis we have to rely on physical examination and additional tests. We therefore run the risk of missing CHF diagnoses or of diagnosing CHF when we should not. Natriuretic peptide assays have emerged as a diagnostic test but their use in nursing home residents is limited. We examined the number of misdiagnoses, the CHF prevalence and the role of natriuretic peptide. Method. Residents in one centre without aphasia, cognitive impairments or metastatic cancer were screened for CHF; the natriuretic peptide levels were measured separately.

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Congestive Heart Failure in the Elderly

Cited by 67 publications

References 167 publications

Causes of Death in Geriatric Patients A Cross-Cultural Study

Causes of Death in Geriatric Patients A Cross-Cultural Study

Variable effect of comorbidity on the association of chronic cardiac failure with disability in community-dwelling older persons

Prevalence and misdiagnosis of chronic heart failure in nursing home residents: the role of B-type natriuretic peptides

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