Key result
Tailored geriatric management is essential for elderly heart failure patients with frailty and multimorbidity.
Why the study?
Most patients with HF are elderly with heterogeneous health status including comorbidities, frailty, and functional and cognitive limitations, making a standardized care approach challenging while their systematic exclusion from clinical trials and large registries creates treatment uncertainties.
Highlights the necessity of a comprehensive geriatric and individualized care approach for elderly, frail heart failure patients who are typically excluded from clinical trials.
Answers are grounded in this paper and cite their sources.
Supports geriatric integration in elderly HF care; leaves open dedicated RCTs in frail, excluded populations.
Most patients with heart failure (HF) are elderly. Regardless of their advanced age, they are characterized by a heterogeneous general health status (comorbidities, frailty, functional and cognitive limitations), making a standardized care approach highly challenging. In this article, we will outline the main characteristics of elderly patients with heart failure, looking at: the diagnostic challenges (especially for patients with preserved ejection fraction); the uncertainties in treatment decisions resulting from the systematic exclusion of these patients from clinical trials and large registries; the need for an individualized clinical approach that takes a comprehensive view of the patient with heart disease; and, finally, the geriatric approach to these patients.
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Mario Bo (2026) conducted a review in Heart failure in elderly, complex, and frail patients. Individualized clinical and geriatric approach was evaluated. Managing heart failure in elderly patients requires an individualized clinical and geriatric approach due to comorbidities, frailty, diagnostic challenges, and clinical trial exclusion.
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