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Informationen zum Autor Chris Ward and Miles Witham are the authors of A Practical Guide to Heart Failure in Older People, published by Wiley. Klappentext 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.* Specifically addresses the particular needs of the elderly, a largely ignored group who constitute the majority of patients with heart failure* Presents a concise yet comprehensive account of the evidence relating to the diagnosis, treatment and management of heart failure in this population* Improves awareness of the various roles within the management team Zusammenfassung 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. Inhaltsverzeichnis Preface xi List of Contributors xiii 1 Introduction 1 Christopher Ward 1.1 A Working Definition of Heart Failure 1 1.2 What do We Mean by 'Older People?' 2 1.3 The Expectations of Older Patients 4 1.4 Age-Related Problems in Heart Failure Treatment and Management 4 1.5 The Level of Evidence for Treating Older Patients 6 References 7 2 Epidemiology 9 Christopher Ward 2.1 Epidemiology, Demography and Prognosis 9 2.2 Heart Failure with Preserved Left Ventricular Systolic Function (HF-PSF) 10 2.3 Prevalence, Incidence and Prognosis 11 2.4 Age and Prognosis 14 2.5 The Effects of Gender and Race on Prevalence and Prognosis 18 2.6 The Increasing Prevalence of Heart Failure and Longevity 19 2.7 The Implications of Epidemiological and Demographic Data 20 References 22 3 Heart Failure and the Aging Heart 27 Helen Oxenham 3.1 Introduction 27 3.2 Overt and Subclinical Cardiovascular Disease in Older People 28 3.3 Age-Related Changes to Cardiac Structure and Function 33 3.4 Other Relevant Age-Related Changes 35 3.5 Responses of the Aging Cardiovascular System to Exercise, Normal Daily Activities and to Other Physiological Stresses 36 3.6 The Pathogenesis of Heart Failure 38 3.7 The Impact of Age-Related Changes to the Cardiovascular System on the Responses to Myocardial Damage 40 3.8 The Prevention of Heart Failure in Older People 40 References 41 4 Aetiology 45 Christopher Ward 4.1 Classification of the Aetiologies ...
