TY - JOUR
T1 - Domain Management Approach to Heart Failure in the Geriatric Patient
T2 - Present and Future
AU - Geriatric Cardiology Section Leadership Council, American College of Cardiology
AU - Gorodeski, Eiran Z.
AU - Goyal, Parag
AU - Hummel, Scott L.
AU - Krishnaswami, Ashok
AU - Goodlin, Sarah J.
AU - Hart, Linda L.
AU - Forman, Daniel E.
AU - Wenger, Nanette K.
AU - Kirkpatrick, James N.
AU - Alexander, Karen P.
N1 - Publisher Copyright:
© 2018 American College of Cardiology Foundation
PY - 2018/5/1
Y1 - 2018/5/1
N2 - Heart failure (HF) is a quintessential geriatric cardiovascular condition, with more than 50% of hospitalizations occurring in adults age 75 years or older. In older patients, HF is closely linked to processes inherent to aging, which include cellular and structural changes to the myocardium, vasculature, and skeletal muscle. In addition, HF cannot be considered in isolation of physical functioning, or without the social, psychological, and behavioral dimensions of illness. The role of frailty, depression, cognitive impairment, nutrition, and goals of care are each uniquely relevant to the implementation and success of medical therapy. In this paper, we discuss a model of caring for older adults with HF through a 4-domain framework that can address the unique multidimensional needs and vulnerabilities of this population. We believe that clinicians who embrace this approach can improve health outcomes for older adults with HF.
AB - Heart failure (HF) is a quintessential geriatric cardiovascular condition, with more than 50% of hospitalizations occurring in adults age 75 years or older. In older patients, HF is closely linked to processes inherent to aging, which include cellular and structural changes to the myocardium, vasculature, and skeletal muscle. In addition, HF cannot be considered in isolation of physical functioning, or without the social, psychological, and behavioral dimensions of illness. The role of frailty, depression, cognitive impairment, nutrition, and goals of care are each uniquely relevant to the implementation and success of medical therapy. In this paper, we discuss a model of caring for older adults with HF through a 4-domain framework that can address the unique multidimensional needs and vulnerabilities of this population. We believe that clinicians who embrace this approach can improve health outcomes for older adults with HF.
KW - domain management
KW - geriatric patient
KW - heart failure
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U2 - 10.1016/j.jacc.2018.02.059
DO - 10.1016/j.jacc.2018.02.059
M3 - Review article
C2 - 29699619
AN - SCOPUS:85045435864
SN - 0735-1097
VL - 71
SP - 1921
EP - 1936
JO - Journal of the American College of Cardiology
JF - Journal of the American College of Cardiology
IS - 17
ER -