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October 10, 2022Cardiovascular JournalOpen Access

All HF therapies remain recommended in geriatric patients but require personalization for comorbidities and frailty.

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Population

Geriatric patients (typically aged >65 or >70-80 years) with heart failure

Design

Editorial

Key result

All heart failure therapies, from drugs to devices, are recommended in geriatric patients, though treatment should be personalized considering comorbidities and frailty.

Authors

AMAbdullah Al Shafi Majumder

Discussion

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Overview

Endorses HF therapies in geriatrics with frailty-based personalization; leaves open dedicated trials in this population.

Structured PICO

P
Population
Geriatric patients (typically aged >65 or >70-80 years) with heart failure
I
Intervention
Guideline-directed medical therapy and device therapy (including beta-blockers, RAAS inhibitors, ARNi, MRAs, SGLT2 inhibitors, ivabradine, digoxin, ICD, and CRT)

Standard heart failure therapies remain effective and recommended in geriatric patients, but require careful personalization and monitoring due to comorbidities and polypharmacy.

Limitations

  • Elderly patients are strikingly under-represented in large controlled clinical trials.
  • Polypharmacy and complex comorbidities complicate management in older adults.
  • Age-related physiological changes affect pharmacokinetics and pharmacodynamics.

Cite This Study

Abdullah Al Shafi Majumder (2022) conducted an editorial in Heart failure. Heart failure therapies was evaluated. All heart failure therapies, from drugs to devices, are recommended in geriatric patients, though treatment should be personalized considering comorbidities and frailty.

synapsesocial.com/papers/6a192e1cf2eb401dc788b9a3https://doi.org/10.3329/cardio.v15i1.61903
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiac failure in an elderly population1994
  2. 2Heart Failure: A Problem of Our Age2011 · 10 citations
  3. 3CONGESTIVE HEART FAILURE IN THE ELDERLY<sup>1</sup>1956 · 10 citations
  4. 4Heart failure: a diagnostic and therapeutic dilemma in elderly patients1999 · 1 citations
  5. 5Heart Failure With Preserved Systolic Function2007