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Heart Failure Management Programs

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Aging Issues in Cardiology

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 250))

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Abstract

During the past decades, the prevalence and incidence of heart failure (HF) have continued to increase due to improved survival from myocardial infarction and the increasing number patients aged 65 years and over <[Cowie et al, 1999]; [Tunstall-Pedoe et al, 1999]; [Capewell et al, 2001]; [Davis et al, 2002]>. Rehospitalization rates for HF remain substantial, with at least thirty percent of elderly patients readmitted within one year, to as many as fifty percent at 6 months <[Gooding and Jette, 1985]; [Vinson et al, 1990]; [Cline et al, 1996]; [Chin and Goldman, 1997]; [Krumholz et al, 1997]; [Cowie et al, 2002]>. Despite improvements in the treatment of HF, data from a recent retrospective population-based cohort study shows that the prognosis following HF hospitalization remains poor, with 30-day and 1-year mortality rates of 24% and 61% respectively in older patients with multiple comorbidities <[Jong et al, 2002]>.

We are adhering to life now with our last muscle - the heart. Djuna Barnes, Nightwood (1937)

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Authors and Affiliations

  1. Department of Medicine, Division of Cardiology, McMaster University, Hamilton, Ontario

    Catherine Demers MD, FRCP & Robert S. McKelvie

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  1. Catherine Demers MD, FRCP
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  2. Robert S. McKelvie
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  1. McMaster University, Hamilton, Ontario, Canada

    Irene D. Turpie  & George A. Heckman  & 

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Demers, C., McKelvie, R.S. (2004). Heart Failure Management Programs. In: Turpie, I.D., Heckman, G.A. (eds) Aging Issues in Cardiology. Developments in Cardiovascular Medicine, vol 250. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-8865-2_8

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  • DOI: https://doi.org/10.1007/978-1-4419-8865-2_8

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