摘要
心失败的背景恶化显得经常与心脏病的进化有关不直接把因素与猛抛联系了。在那里静止猛抛的比例的分发上的数据的少量因素明确地在老病人。这研究的目的是有希望地检验在我们的社区医院里与心失败在老病人导致住院的猛抛的因素。我们评估需要录取为的老病人的方法患心脏代偿失调心失败。所有病人每天被学习调查者在开始的 24 h 并且仔细考察跟随起来。补偿不全被定义为在与对医疗的增加的需要联系的临床的 NYHA 班上变得更坏(在最小静脉内地利尿剂) 。结果我们包括了 102 个病人(意味着年龄 79 ??? 敹牡？
Background Exacerbations of heart failure appear frequently associated with precipitating factors not directly related to the evolution of cardiac disease. There still a paucity of data on the proportional distribution of precipitating factors specifically in elderly patients. The aim of this study was to examine prospectively the precipitating factors leading to hospitalization in elderly patients with heart failure in our community hospital. Methods We evaluate elderly patients who need admissions for decompensate heart failure. All patients were reviewed daily by the study investigators at the first 24 h and closely followed-up. Decompensation was defined as the worsening in clinical NYHA class associated with the need for an increase in medical treatment （at minimum intravenously diuretics）. Results We included 102 patients （mean age 79 ± 12 years）. Precipitating factors were identified in 88.5%. The decompensation was sudden in 35% of the cases. Noncompliance with diet was identified in 52% of the patients, lack of adherence to the prescribed medications amounted to 30%. Others precipitating factors were infections （29%）, arrhythmias （25%）, acute coronary ischemia （22%）, and uncontrolled hypertension （15%）, miscellaneous causes were detected in 18% of the cases （progression of renal disease 60%, anemia 30% and iatrogenic factors 10%）. Concomitant cause was not recognizable in 11.5%. Conclusions Large proportion heart failure hospitalizations are associated with preventable precipitating factors. Knowledge of potential precipitating factors may help to optimize treatment and provide guidance for patients with heart failure. The presence of potential precipitating factors should be routinely evaluated in patients presenting chronic heart failure.
