Những điểm cần lưu ý khi điều trị suy tim ở người cao tuổi

Management of heart failure in the elderly: what I should know? Professor Andrew Coats Joint Academic Vice-President and Director, Monash-Warwick Alliance The ageing world www.un.org/esa/socdev/ageing/agewpop1.htm Detecting Heart Failure in The Population The Hillingdon Study Cowie, Wood, Coats, Poole-Wilson, Thompson, Suresh, Sutton • Population of 151,000 in West London • 82 GP’s • Rapid access HF clinic • Survey of all admissions to local hospital • 20 month study Elderly HF Patients are not like younger HF patients They have more co-morbidities Co-Morbidity in Elderly Patients with Heart Failure Hypertension Diabetes COPD Ocular disorders Hypercholest Atherosclerosis 55 31 26 24 21 20 19 Arthritis COPD Thyroid disorders Complicated HBP Alzheimer's 14 14 11 Depression Renal failure N=122,630 10 20 30 % of patients 40 50 60 Braunstein et al., J Am Coll Cardiol 2003 Clinical Characteristics of HF Patients According to Age 35 30 25 20 15 10 Renal dysfunction Atrial Fibrillation p