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Inicio Revista Española de Geriatría y Gerontología Manejo de la insuficiencia cardíaca del viejo. ¿Quién y dónde? Visión del g...
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Vol. 37. Issue 1.
Pages 5-12 (January 2002)
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Vol. 37. Issue 1.
Pages 5-12 (January 2002)
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Manejo de la insuficiencia cardíaca del viejo. ¿Quién y dónde? Visión del geriatra
Management of heart failure in the elderly. Who and where? Vision of geriatrics
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4649
C. Verdejo Bravo*
Servicio de Geriatría. Hospital Clínico San Carlos. Universidad Complutense. Madrid
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Resumen

La insuficiencia cardíaca supone una entidad prevalente en el paciente geriátrico comunicándose que la edad es un factor de riesgo para el desarrollo de la misma.

En este artículo se exponen las principales características del paciente geriátrico, así como la metodología empleada por los geriatras para conocer todas esas características y diseñar el plan de tratamiento más adecuado para cada paciente.

Asimismo se presentan las características diferenciales de la insuficiencia cardíaca en el paciente geriátrico, comentándose las principales peculiaridades en cuanto a su valoración diagnóstica.

Con respecto al tratamiento de la insuficiencia cardíaca en el paciente geriátrico se exponen las líneas básicas del manejo farmacológico, con las modificaciones para el paciente geriátrico, y se describen los principales resultados del manejo no farmacológico, que cada vez desempeña un papel más relevante en el manejo de esta entidad clínica.

Palabras clave:
Insuficiencia cardíaca
Paciente geriátrico
Valoración geriátrica
Manejo farmacológico
Manejo no farmacológico
Equipo interdisciplinar
Summary

Heart failure is a prevalent entity in the geriatric patient, it being reported that age is a risk factor for its development. In this article, the principal characteristics of the geriatric patient as well as the methodology used for the geriatricians to know all the characteristics and to design the best treatment plan for each patient are explained. In addition, the differential characteristics of heart failure in the geriatric patient are presented, commenting on the principal characteristics regarding its diagnostic assessment.

Regarding treatment of heart failure in the geriatric patient, the basic lines of drug treatment are explained, with the modifications for the geriatric patient, and the principal results of non-drug treatment, which are playing an ever more relevant role in the management of this clinical entity, are described.

Key words:
Heart failure
Geriatric patient
Geriatric assessment
Drug management
Non-drug management
Interdisciplinary team
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Copyright © 2002. Sociedad Española de Geriatría y Gerontología
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