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BioMed Research International
Volume 2017, Article ID 1483873, 11 pages
https://doi.org/10.1155/2017/1483873
Review Article

Current Therapeutic Options for Heart Failure in Elderly Patients

Cardiology and Arrhythmology Clinic, Department of Biomedical Sciences and Public Health, University Hospital “Ospedali Riuniti”, Marche Polytechnic University, Ancona, Italy

Correspondence should be addressed to F. Guerra; ti.mpvinu@arreug.f

Received 14 August 2017; Revised 25 October 2017; Accepted 29 October 2017; Published 15 November 2017

Academic Editor: Natale Daniele Brunetti

Copyright © 2017 F. Guerra et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Heart failure (HF) is a major and growing public health problem with high morbidity and mortality (Ponikowski et al., 2016). It affects 1-2% of the general population in developed countries, and the average age at diagnosis is 76 years. Because of a better management of acute phase and comorbidities, HF incidence is increasing in elderly patients, with a prevalence rising to 10% among people aged 65 years or older (Mozaffarian et al., 2014). Therefore, a substantial number of elderly patients need to be treated. However, because of clinical trial exclusion criteria or coexisting comorbidities, currently recommended therapies are widely based on younger population with a much lower mean age. In this review, we will focus on available pharmacological, electrical, and mechanical therapies, underlining pros, cons, and practical considerations of their use in this specific patient population.