Научно-практический рецензируемый журнал
"Современные проблемы здравоохранения
и медицинской статистики"
Scientific journal «Current problems of health care and medical statistics»

Диагностика и профилактика преждевременного старения

Геронтология и гериатрия

GERIATRIC ASPECTS OF CHRONIC HEART FAILURE

I.V. Podobed1, K. I. Prashchayeu1,2, Т.А. Akhmedov3,4, A.S. Rukavishnikov5, O. Yu. Kovalenko6
1. Federal State Autonomous Educational Institution of Higher Education «Belgorod State National Research University», Belgorod, Russia
2. Academy of postgraduate education of the Federal state budgetary institution «Federal scientific and clinical center of specialized types of medical care and medical technologies of the Federal medical and biological Agency», Moscow
3. Saint Petersburg Institute of Bioregulation and Gerontology, St. Petersburg
4. FSBEI HE I.P.Pavlov SPbMU MOH Russia, St. Petersburg
5. Tosno Clinical Interdistrict Hospital, Tosno, Leningrad region
6. Regional State budgetary institution of health care of the city of Belgorod
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Summary:
Studies show a high prevalence of geriatric syndromes among elderly patients with chronic heart failure (CHF). The study of the frailty (FR) in patients with decompensated CHF is timely. Objective: to study the gender and age aspects of patients with CHF decompensation. To assess the relationship between FR and CHF decompensation. Materials and Methods: 107 patients aged 46-95 years with decompensated CHF functional class III-IV were included. 4 groups were formed: 1st - 29 people (53.9 ± 4.5 years), middle age (46-60 years); 2nd - 31 people (68.3 ± 5.0 years) elderly (61-74 years); 3rd - 40 people (81.5 ± 4.1 years) old age (75-89 years). 4th - 7 people (92.4 ± 1.4 years) of the age of centenarians (> 90 years). The patients underwent: examination, assessment of marital status, determination of BMI, brain natriuretic peptide (BNP), chest X-ray. Geriatric syndromes were assessed using a comprehensive geriatric assessment (CGE) using the Specialized Geriatric Examination program. Results: in the middle (n = 29) and elderly (n = 31) groups, there was a predominance of men (100% and 51.6%, respectively). The share of women in the old age group (n = 40) is 67.5%, in the long-liver group (n = 7) - 85.7%. There was a significant difference in BNP values between middle-aged and elderly patients (p2 = 0.05). The prevalence of FR was 54.8% in the elderly group, among elderly patients - 87.5%, centenarians - 100%. In the group of middle-aged people, the relationship was found between FR and the classification of NYHA (r = 0.59, p
Keywords chronic heart failure, frailty, elderly and senile age

Bibliographic reference:
I.V. Podobed, K. I. Prashchayeu, Т.А. Akhmedov, A.S. Rukavishnikov, O. Yu. Kovalenko, GERIATRIC ASPECTS OF CHRONIC HEART FAILURE // Scientific journal «Current problems of health care and medical statistics». - 2021. - №1;
URL: http://healthproblem.ru/magazines?textEn=587 (date of access: 26.06.2024).

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