%0 Journal Article
%T [Heart failure in old age : Current recommendations in view of the revised national treatment guidelines on chronic heart failure].
%A Lambrecht A
%A Hardt R
%J Z Gerontol Geriatr
%V 52
%N 7
%D Nov 2019
%M 31578609
%F 1.292
%R 10.1007/s00391-019-01617-0
%X Clinical symptoms of heart failure in older patients can be similar to those of other diseases in geriatrics. Therefore, the diagnosis should be confirmed by echocardiography. The treatment of older patients with heart failure with reduced left ventricular ejection fraction (HFrEF) should be carried out in accordance with the guidelines with regular control of volume status, renal function and serum electrolytes. Due to the lack of effective treatment of heart failure with preserved ejection faction (HFpEF) blood pressure control as a measure of prevention is important. Patients can benefit from the new treatment options for secondary mitral regurgitation if the patient selection is correct. For older and frail patients a special management would be desirable, with the aim of reducing functional loss through hospitalization. In order to reduce the rehospitalization rate of older patients, it is necessary to improve the collaboration between outpatient and inpatient care providers and nursing personnel should be better qualified.