A Practical Guide to Heart Failure in Older People

Chris Ward 지음

Wiley 2009년 03월 23일 출간

작품소개

책소개

Heart failure is effectively a disease of older people. Eighty percent of patients are over 65 years old, and the majority of these are over 75. This figure is likely to increase significantly in the next two decades. The prognosis is worse than that of most cancers and heart failure is the commonest reason for hospital admission in the over 65s.The problems associated with treating heart failure in older patients are more diverse and complex than in those who are younger. The diagnosis in older patients is easily overlooked and as they were excluded from most heart failure treatment trials there has been a reluctance to treat them optimally (fewer than 20% are prescribed conventional medicines). They have multiple co-morbidities which are poorly managed, they are repeatedly hospitalised, and suffer social isolation.These important age-related treatment and management problems have been largely ignored and this book aims to redress the balance. It provides a concise, comprehensive account of the epidemiology, pathogenesis, diagnosis, treatment, management and end-of-life care of elderly patients with heart failure, based on published studies.A Practical Guide to Heart Failure in Older People is essential reading for geriatricians, cardiologists, general hospital physicians, family practitioners and specialist nurses.#8226; Specifically addresses the particular needs of the elderly, a largely ignored group who constitute the majority of patients with heart failure#8226; Presents a concise yet comprehensive account of the evidence relating to the diagnosis, treatment and management of heart failure in this population#8226; Improves awareness of the various roles within the management team

목차

ContentsChapter 1 IntroductionChristopher Ward1.1 A Working Definition of Heart Failure1.2 What do We Mean by &-Older People?&-1.3 The Expectations of Older Patients1.4 Age-Related Problems in Heart Failure Treatment and Management1.5 The Level of Evidence for Treating Older PatientsReferencesChapter 2 EpidemiologyChristopher Ward2.1 Epidemiology, Demography and Prognosis2.2 Heart Failure with Preserved Left Ventricular Systolic Function2.3 Prevalence, Incidence and Prognosis2.4 Age and Prognosis2.5 The Effects of Gender and Race on Prevalence and Prognosis2.6 The Increasing Prevalence of Heart Failure and Longevity2.7 The Implications of Epidemiological and Demographic DataReferencesChapter 3 Heart Failure and the Aging HeartHelen Oxenham3.1 Introduction3.2 Overt and Subclinical Cardiovascular Disease in Older People3.3 Mitral Annular Calcification3.4 Age-Related Changes to Cardiac Structure and Function3.5 Other Relevant Age-Related Changes3.6 Responses of the Aging Cardiovascular System to Exercise, Normal Daily Activities and to Other Physiological Stresses3.7 he Pathogenesis of Heart Failure3.8 The Impact of Age-Related Changes to the Cardiovascular System on the Responses to Myocardial Damage3.9 The Prevention of Heart Failure in Older PeopleReferencesChapter 4 AetiologyChristopher Ward4.1 Classification of the Aetiologies of Heart Failure4.2 The Importance of Identifying the Aetiology4.3 Specific Aetiologies4.4 Post-Myocardial Infarction Heart Failure4.5 Valvular Disease4.6 The Cardiomyopathies4.7 Atrial FibrillationReferencesChapter 5 DiagnosisChristopher Ward5.1 Diagnostic Guidelines5.2 Symptoms and Signs: Sensitivity and Specificity5.3 Objective Evidence of Left Ventricular Systolic Dysfunction5.4 Diagnostic Diff

작가정보

저자(글) Chris Ward