Geriatric Domains in Patients with Heart Failure with Preserved Ejection Fraction

Cardiol Clin. 2022 Nov;40(4):517-532. doi: 10.1016/j.ccl.2022.06.006. Epub 2022 Sep 5.

Abstract

Because heart failure with preserved ejection fraction (HFpEF) is closely linked to aging processes and disproportionately affects older adults, consideration of geriatric domains is paramount to ensure high-quality care to older adults with HFpEF. Multimorbidity, polypharmacy, cognitive impairment, depressive symptoms, frailty, falls, and social isolation each have important implications on quality of life and clinical events including hospitalization and mortality. There are multiple strategies to screen for these conditions. This narrative review underscores the importance of screening for multiple geriatric conditions, integrating these conditions into decision making, and addressing these conditions when caring for older adults with HFpEF.

Keywords: Cognitive impairment; Depression; Falls; Frailty; HFpEF; Multimorbidity; Polypharmacy; Social isolation.

Publication types

  • Review

MeSH terms

  • Aged
  • Frailty* / epidemiology
  • Heart Failure* / diagnosis
  • Heart Failure* / epidemiology
  • Heart Failure* / therapy
  • Humans
  • Quality of Life
  • Stroke Volume
  • Ventricular Function, Left