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Rev Esp Geriatr Gerontol 2002;37:13-9 - DOI: 10.1016/S0211-139X(02)74768-9
Manejo de la insuficiencia cardíaca en el anciano ¿Quién y dónde? Visión del especialista
Management of heart failure in the elderly. Who and where? Vision of the specialist
M. Martínez-Sellés, H. Bueno
Servicio de Cardiología. Hospital General Universitario Gregorio Marañón. Madrid
Recibido 29 agosto 2001, Aceptado 29 octubre 2001

The progressive aging of the population as well as the increased survival of patients with heart disease and high blood pressure, because of improvements in their treatment, are leading to an increased prevalence of congestive heart failure, above all in the elderly.

The cardiologists use diagnostic and therapeutic resources and follow published guides and the results of the clinical trials more frequently than other physicians in the management of elderly heart failure patients. Several studies suggest that elderly patients with heart failure managed by cardiologists would improve more in terms of quality of quality of life and fewer hospital readmissions compared with patients managed by other physicians, although the advantages of cardiology care in the prognosis has not been definitely shown as of yet. However, greatly due to logistic reasons, most of these patients have to be diagnosed and treated by non-cardiologists. In other cases, the presence of other factors such as significant comorbidity or other associated problems lead to preferential management by geriatricians, internal medicine physicians or general practitioners. In those cases, the cardiologists must provide clinical support to the other physicians in both the acute phase as well as during long term follow-up. A multidisciplinary approach, including medical and non-medical care, seems to be the best option that takes advantage of the resources offered by each specialty.

Palabras clave
Insuficiencia cardíaca, Anciano, Especialidad
Key words
Heart failure, Elderly, Specialty
El Texto completo solo está disponible en PDF
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Correspondencia: Servicio de Cardiología. Hospital General Universitario Gregorio Marañón. Dr. Esquerdo, 46. 28007 Madrid.
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