Heart failure in the elderly
Congestive heart failure in elderly, otherwise referred to as CHF, is a condition in which the heart’s function as a pump is inadequate to meet the body’s needs. It can occur when the heart is weakened or damaged from diseases or the demand for oxygen by the body is more than the heart can supply.
Although there have been recent improvements in congestive heart failure treatment, researchers say the prognosis for people with the disease is still bleak, with about 50% having an average life expectancy of less than five years. For those with advanced forms of heart failure , nearly 90% die within one year.
Warning signs of worsening heart failure Sudden weight gain (2–3 pounds in one day or 5 or more pounds in one week) Extra swelling in the feet or ankles. Swelling or pain in the abdomen. Shortness of breath not related to exercise.
There are four stages of heart failure ( Stage A, B, C and D). The stages range from “high risk of developing heart failure ” to “advanced heart failure ,” and provide treatment plans.
It just needs some support to help it work better. It can occur at any age, but is most common in older people. Heart failure is a long-term condition that tends to get gradually worse over time. It cannot usually be cured, but the symptoms can often be controlled for many years.
Heart failure signs and symptoms may include: Shortness of breath ( dyspnea ) when you exert yourself or when you lie down. Fatigue and weakness . Swelling ( edema ) in your legs, ankles and feet. Rapid or irregular heartbeat. Reduced ability to exercise. Persistent cough or wheezing with white or pink blood-tinged phlegm.
The symptoms of end -stage congestive heart failure include dyspnea, chronic cough or wheezing, edema, nausea or lack of appetite, a high heart rate, and confusion or impaired thinking. Learn about the hospice eligibility requirements for end -stage heart failure .
While advancements have been made, according to a 2008 study, 50% of patients will have an average life expectancy of five years . For those with advanced heart failure , up to 90 % will pass away within one year .
Here are eight of the items on their lists: Bacon, sausage and other processed meats . Hayes, who has a family history of coronary disease, is a vegetarian. Potato chips and other processed, packaged snacks. Dessert. Too much protein. Fast food. Energy drinks. Added salt. Coconut oil.
1 Stage D heart failure describes advanced progression of the heart failure syndrome charac- terized by structural abnormalities of the heart and severe resting symptoms despite optimal medical, surgical, and de- vice therapy. The terms ” stage D ” and ”advanced” are used interchangeably in the present document.
You may experience a persistent cough or wheezing (a whistling sound in the lungs or laboured breathing) due to your heart failure . The wheezing is similar to asthma but has a different cause in heart failure .
Approximately 90% of heart failure patients die from cardiovascular causes. Fifty per cent die from progressive heart failure , and the remainder die suddenly from arrhythmias and ischaemic events.
Although many cases of heart failure can ‘t be reversed, treatment can sometimes improve symptoms and help you live longer. You and your doctor can work together to help make your life more comfortable. Pay attention to your body and how you feel, and tell your doctor when you ‘re feeling better or worse.
In a recent study, it was reported that patients hospitalized with moderate systolic heart failure faced a median expected survival time of 2.4 years if they were aged 71 to 80 years and 1.4 years if they were aged 80 years or more. In patients with more advanced systolic dysfunction, life expectancy was even shorter.
Elderly patients are often treated with negative inotropic agents such as calcium channel antagonists or nonsteroidal anti-inflammatory drugs and hormonal agents that promote fluid retention. They are prone to recurrent episodes of CHF due to various factors.
Patients are considered to be in the terminal end stage of heart disease when they have a life expectancy of six months or less. Only a doctor can make a clinical determination of congestive heart failure life expectancy.