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The clinical diagnosis of heart failure in older patients
Author(s)Donald D Tresch
Journal titleJournal of the American Geriatrics Society, vol 45, no 9, September 1997
Pagespp 1128-1133
KeywordsHeart disease ; Diagnosis.
AnnotationScientific reports on heart failure in both the general population and the geriatric population were identified from repeated searches of the MEDLINE database and citations from appropriate articles. Relevant data were obtained from these articles; special importance was placed on studies designed to examine older patients exclusively or as a sub-group in a larger study. Review of data pertaining to clinical characteristics and presentation of heart failure was performed, with emphasis on comparing the characteristics between age groups. Specific cardiac diseases that cause ventricular impairment in older patients were assessed, and the importance of systolic versus diastolic dysfunction in this age group was analysed. Clinical diagnosis of heart failure in older patients may be difficult, because of the absence of typical symptoms and physical findings. When present, the symptoms and signs may be mistakenly diagnosed as caused by concomitant disorders or ageing changes; or they may be obscured by the presence of ageing changes or of other diseases. As a result of these difficulties, initial diagnosis of heart failure in older patients is made later in the course of the cardiac disease process. (RH).
Accession NumberCPA-981127211 A
ClassmarkCQH: LK7

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