Clinical characteristics of elderly patients with chronic heart failure
DING Xu
LIN Hai-long
LI Ya-jie
ZHAO Hong-tao
Abstract：Objective To understand the etiology, drug therapies and death causes in elderly patients with chronic heart failure (CHF). Methods The patients (n=518) diagnosed as CHF were chosen from the Center Hospital of Dalian City from Jan. 1, 2002 to Dec. 31, 2009. The status of etiology, drug therapies and manners of death was analyzed. Results Among all hospitalized patients with CHF, elderly patients accounted for 69.6%, and ratio of male patients to female ones was 1.67:1. The percentage of patients with grade III of NYHA was 58.6%and those with grade IV of NYHA was 28.5%. The causes of CHF were, in a descent order, coronary heart disease (63.7%), hypertensive heart disease (17.14%), rheumatic heart disease (8.5%) and dilated cardiomyopathy (6.2%). The usage rate of anti-CHF drugs were, in a descent order, nitrates (86.5%), diuretics (74.4%), digitalis (58.6%), ACEI (45.2%),β-receptor blockers (22.3%) and aldosterone receptor antagonist spironolactone (20.8%). The common cause of death was pump failure (52.6%). Conclusion The first cause of CHF in hospitalized elderly patients is coronary heart disease, and the most common drugs are nitrates, diuretics and digitalis. The application of ACEI andβ-receptor blockers are not population in grass-roots hospitals.
Keywords：Chronic heart failureElderly peopleClinical characteristics
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 215-217 )