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- W2947021174 abstract "Heart failure (HF) is a common chronic disease among elderly and whose costs of care, morbidity and mortality remain high. Management of elderly patients with HF is mostly realized by general practitioners (GPs). However, we observed an underuse of recommended drugs therapy including angiotensin converting enzyme (ACE-I), Betablockers (BB) and aldosterone antagonists in elderly patients with HF who usually have several diseases. Most clinical trials conducted on HF, have included individuals whose age did not exceed 80 years old. However, the main objectives concerning management of patients suffering from HF defined by the European Society of Cardiology (ESC) remain applicable to the elderly: improvement of quality of life, reduction of mortality as well as the number and duration of hospitalizations and finally reduction in disease progression. In frail or end-of-life patients, symptomatic treatment remains a priority. ACE-I and BB have showed a decrease in morbidity and mortality among HF patients regardless of their age. Similar results were observed in observational studies conducted in elderly patients. For heart failure with preserved ejection fraction, current data don’t support a significant reduction in mortality but it seems that ACE-I/ARBs reduce hospitalizations and improve symptoms. The multidisciplinary approach including therapeutic education showed its efficiency among the elderly by E. Ferrat (*) · M. Medioni · J. Le Breton · L. Compagnon · J. Cittee · S. Bercier · V. Renard · C. Attali Departement universitaire d’enseignement et de recherche en medecine generale, UPEC, 8, rue du general Sarrail, F-94010 Creteil cedex, France e-mail : emilie_frisouille@yahoo.fr Universite Paris-Est (UPEC), faculte de medecine, laboratoire d’Investigation clinique (LIC EA 4393), F-94010 Creteil, France e-mail : emilie_frisouille@yahoo.fr Co-edition avec L’Annee gerontologique (2012) Cah. Annee Gerontol. (2012) 4:301-309 DOI 10.1007/s12612-012-0302-x" @default.
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- W2947021174 date "2012-01-01" @default.
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- W2947021174 title "Le traitement du patient âgé insuffisant cardiaque : synthèse des données disponibles en 2012 Management of elderly with heart failure: review of available data in 2012" @default.
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