Surgical Treatment of Heart Failure in the Elderly

Malekan, Ramin; Lansman, Steven L.

doi:10.1016/j.hfc.2007.07.013

Cited by 3 publications

(5 citation statements)

References 33 publications

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“…Older adults with HF secondary to ischemic or valvular heart disease may benefit from surgical therapy, valve replacement or repair for valvular heart disease and coronary artery bypass grafting (CABG) for coronary artery disease. 96 While referring these patients for surgery, patient and family expectations and life expectations should be taken into account. 96 Although patients above 75 years are frequently unfit for surgery, the development of safer surgical procedures in the previous two decades have allowed these patients to undergo complex cardiac procedures.…”

Section: Managementmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

“…96 While referring these patients for surgery, patient and family expectations and life expectations should be taken into account. 96 Although patients above 75 years are frequently unfit for surgery, the development of safer surgical procedures in the previous two decades have allowed these patients to undergo complex cardiac procedures. 96 Cardiac transplantation is a viable long-term lifesaving treatment option for terminal HF.…”

Section: Surgical Measuresmentioning

confidence: 99%

“…96 Although patients above 75 years are frequently unfit for surgery, the development of safer surgical procedures in the previous two decades have allowed these patients to undergo complex cardiac procedures. 96 Cardiac transplantation is a viable long-term lifesaving treatment option for terminal HF. Patients with advanced HFrEF who fail to respond to pharmacotherapy are candidates for left ventricular assist devices (LVADs) or cardiac transplantation if the device is unable to improve outcomes.…”

Section: Surgical Measuresmentioning

confidence: 99%

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Pathophysiology and Management of Heart Failure in the Elderly

et al. 2022

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The population of elderly adults is increasing globally. It has been projected that the population of adults aged 65 years will increase by approximately 80% by 2050 in the United States. Similarly, the elderly population is rising in other countries; a notable example being Japan where approximately 30% of the population are aged above 65 years. The pathophysiology and management of heart failure (HF) in this age group tend to have more intricacies than in younger age groups owing to the presence of multiple comorbidities. The normal aging biology includes progressive disruption at cellular and genetic levels and changes in molecular signaling and mechanical activities that contribute to myocardial abnormalities. Older adults with HF secondary to ischemic or valvular heart disease may benefit from surgical therapy, valve replacement or repair for valvular heart disease and coronary artery bypass grafting for coronary artery disease. While referring these patients for surgery, patient and family expectations and life expectations should be taken into account. In this review, we will cover the pathophysiology and the management of HF in the elderly, specifically discussing important geriatric domains such as frailty, cognitive impairment, delirium, polypharmacy, and multimorbidity.

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Section: Managementmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

Section: Surgical Measuresmentioning

confidence: 99%

Section: Surgical Measuresmentioning

confidence: 99%

See 2 more Smart Citations

Pathophysiology and Management of Heart Failure in the Elderly

et al. 2022

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“…Del interés por el tema puede dar idea el hecho de que, si se unen como buscadores en PubMed los términos «elderly» y «cardiac surgery», aparecen 801 referencias tan sólo en los últimos 2 años. Cada vez son más las publicaciones que aportan información al respecto, y algunas revisiones de carácter general pueden ser especialmente instructivas y orientadoras [2][3][4][5] .…”

Section: Editorialunclassified