Prognostic and Therapeutic Implications of Frailty in Older Adults with Heart Failure.
Curr Cardiol Rep
; 17(11): 92, 2015 Nov.
Article
em En
| MEDLINE
| ID: mdl-26346250
ABSTRACT
Frailty is increasingly recognized in older adults with cardiovascular disease, particularly in those with heart failure (HF). A growing body of evidence has shown that frailty has a negative effect on survival, hospitalizations, disability, and quality of life. Beyond frailty, additional domains captured by a comprehensive geriatric assessment contribute incremental value in predicting outcomes and identifying treatment targets. Exercise training is ideally suited to this setting as it can concomitantly improve physical frailty and HF symptoms. Multidisciplinary disease management programs offer a number of benefits for frail HF patients; invasive procedures carry a higher risk of morbidity than in non-frail counterparts, and evidence-based drugs and devices have an uncertain value and warrant further research. While more data accrues, difficult therapeutic decisions should be individualized using a shared patient-centered decision making approach.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Idoso Fragilizado
/
Insuficiência Cardíaca
Tipo de estudo:
Prognostic_studies
Limite:
Aged
/
Humans
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article