scholarly journals COVID-19 pneumonia and the masquerades

2020 ◽  
Vol 6 (3) ◽  
pp. 20200067
Author(s):  
Cheng Xie ◽  
Maria Tsakok ◽  
Samuel Channon-Wells ◽  
Fiona MacLeod ◽  
Heiko Peschl ◽  
...  
Keyword(s):  
Heart Failure ◽  
Differential Diagnosis ◽  
Elderly Population ◽  
The Elderly ◽  
Chest Ct ◽  
Patients With Heart Failure

During the COVID-19 pandemic, chest CT is frequently used to help with the diagnosis. The classic CT patterns of COVID-19 pneumonia are well-published and recognised among radiologists. However, when there are pre-existing conditions particularly in the elderly population that could mask or result in similar patterns of disease, then the diagnosis is more difficult. This imaging essay highlights the commonly encountered situations including patients with heart failure, other possible infections particularly in the immunodeficient, and when there is trauma to the thorax. We illustrate imaging clues available to the radiologist to either make the diagnosis or at least reduce the differential diagnosis

Thiamine level in the elderly patients with heart failure

2004 ◽  
Vol 10 (5) ◽  
pp. S172
Author(s):  
Terada Hajime ◽  
Katoh Hideki ◽  
Satoh Hiroshi ◽  
Hayashi Hideharu
Keyword(s):  
Heart Failure ◽  
Elderly Patients ◽  
The Elderly ◽  
Patients With Heart Failure ◽  
Thiamine Level

scholarly journals CASE REPORT: UNCONTROLLED HYPERTENSION CONTRIBUTES TO WORSENING OF PRESBYCUS SYMPTOMS IN THE ELDERLY

2020 ◽  
Vol 1 (1) ◽  
pp. 33
Author(s):  
Faradila Budi Saputri ◽  
Azizah Amimathul Firdha ◽  
Safira Rahma ◽  
Rieza Rizqy Alda ◽  
Syahwina Inayasari ◽  
...  
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Hearing Loss ◽  
Case Report ◽  
Hearing Aids ◽  
Social Life ◽  
Elderly Population ◽  
The Elderly ◽  
Uncontrolled Hypertension ◽  
Age Related

Presbycusis is a disease that can befall the elderly, caused by a multifactorial process that should be allowed to disrupt communication and social life and cause mental disorders. According to WHO the proportion of the elderly population rises rapidly which is estimated in 2025, there are about 1,2 billion elderly people with a risk of presbycusis. Mr.S was 84 years old, married and had 2 children, complained of hearing loss since 10 years ago on the patient's left ear. The decline in hearing occurred gradually, giving the last 4 years after his wife's death. Patients was taken to Otorhinolaryngologist and expressed age-related hearing impairment and was advised to use hearing aids. Patients are not routinely using hearing aids. In addition, patients have hypertension and heart disease. Patients consumed Captopril 2x1 tablets, Fundifar 2x1, Furosemide 1x40 mg and Fargoxin 1x0.25 mg. Patients do not routinely consumed cardiac medicine and used hearing aids. From the results of heteroanamnesis, physical examination, and audiogram examination conducted in Mr.S patients, it can be concluded that Mr.S suffers from presbycusis with hypertensive and congestive heart failure. Mr.S was advised to routinely have their hearing check to Otorhinolaryngologist the as an evaluation and routine control to Cardiologist. 

scholarly journals Targeting Age-Related Pathways in Heart Failure

2020 ◽  
Vol 126 (4) ◽  
pp. 533-551 ◽  
Author(s):  
Haobo Li ◽  
Margaret H. Hastings ◽  
James Rhee ◽  
Lena E. Trager ◽  
Jason D. Roh ◽  
...  
Keyword(s):  
Heart Failure ◽  
Elderly Population ◽  
Molecular Mechanisms ◽  
The Elderly ◽  
Structure And Function ◽  
Experimental Platform ◽  
Age Related ◽  
Cardiac Structure And Function ◽  
And Function ◽  
Increased Susceptibility

During aging, deterioration in cardiac structure and function leads to increased susceptibility to heart failure. The need for interventions to combat this age-related cardiac decline is becoming increasingly urgent as the elderly population continues to grow. Our understanding of cardiac aging, and aging in general, is limited. However, recent studies of age-related decline and its prevention through interventions like exercise have revealed novel pathological and cardioprotective pathways. In this review, we summarize recent findings concerning the molecular mechanisms of age-related heart failure and highlight exercise as a valuable experimental platform for the discovery of much-needed novel therapeutic targets in this chronic disease.

Depression and dementia: A conspiracy ?

2011 ◽  
Vol 26 (S2) ◽  
pp. 2211-2211
Author(s):  
C. Hanon
Keyword(s):  
Differential Diagnosis ◽  
Cognitive Functioning ◽  
Elderly Population ◽  
The Elderly ◽  
Scientific Data ◽  
The Other ◽  
Comorbid Depression ◽  
Adequate Treatment ◽  
Treatment Of Depression ◽  
The Common

Depression and dementia are two very common clinical entities in the elderly population. Differential diagnosis of these disorders may pose difficulties. On the other hand, when they are comorbid, depression and dementia may affect the outcome of each other. When adequate treatment for depression is provided, patients with dementia may experience a significant improvement in cognitive functioning. Therefore, the possibility of comorbid depression and dementia should always be taken into account in the elderly population. This presentation will address the common clinical obstacles encountered while managing these disorders. Using the latest scientific data, the adequate treatment of depression and dementia will be discussed.

scholarly journals Role and efficacy of cardiac rehabilitation in patients with heart failure

2019 ◽  
Vol 89 (1) ◽  
Author(s):  
Maria Teresa La Rovere ◽  
Egidio Traversi
Keyword(s):  
Physical Activity ◽  
Heart Failure ◽  
High Risk ◽  
Cardiac Rehabilitation ◽  
Acute Decompensated Heart Failure ◽  
Care Service ◽  
Decompensated Heart Failure ◽  
The Elderly ◽  
Outpatient Basis ◽  
Patients With Heart Failure

Despite improvements in treatments, the prognosis of heart failure remains poor. Elderly patients with heart failure are burdened with multiple co-morbidities and polypharmacy. Multidisciplinary disease-management programs are recommended as standard care for patients at high risk of hospitalization. Cardiac rehabilitation is defined a coordinated multidimensional intervention that integrates the basic elements in multidisciplinary management programs with a continuing program of physical activity and exercise training. Cardiac rehabilitation services can be provided on an inpatient or outpatient basis according to the clinical characteristics and severity of the disease. Data support the usefulness of inpatient cardiac rehabilitation interventions soon after hospitalization for acute decompensated heart failure as a “transition care service” to overcome the particularly high risk “vulnerable” phase. Although in the elderly, physical activity is conditioned by the general clinical conditions, the presence of comorbidities and frailty, several data underscore the importance of improving exercise capacity in the elderly vulnerable patient.

scholarly journals Reduction of mortality by catheter ablation in real-world atrial fibrillation patients with heart failure

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Pil-Sung Yang ◽  
Daehoon Kim ◽  
Jung-Hoon Sung ◽  
Eunsun Jang ◽  
Hee Tae Yu ◽  
...  
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Real World ◽  
The Elderly ◽  
Cardiovascular Death ◽  
Af Ablation ◽  
Patients With Heart Failure ◽  
Korean National Health Insurance ◽  
Reduction Of Mortality

AbstractWhether catheter ablation for atrial fibrillation (AF) improves survival and affects other outcomes in real-world heart failure (HF) patients is unclear. This study aimed to evaluate whether ablation reduces death, and other outcomes in real-world AF patients with HF. Among 834,735 patients with AF from 2006 to 2015 in the Korean National Health Insurance Service database, 3173 HF patients underwent AF ablation. Propensity score weighting was used to correct for differences between the groups. During median 54 months follow-up, the risk of all-cause death in ablated patients was less than half of that in patients with medical therapy (2.8 vs. 6.2 per 100 person-years; hazard ratio [HR] 0.42, 95% confidence interval [CI] 0.27–0.65, p < 0.001). Ablation was related with lower risk of cardiovascular death (HR 0.38, 95% CI 0.32–0.62, p < 0.001), HF admission (HR 0.39, 95% CI 0.33–0.46, p < 0.001) and stroke/systemic embolism (HR 0.44, 95% CI 0.37–0.53, p < 0.001). In subgroup analysis, the risk of all-cause death was reduced in most subgroups except in the elderly (≥ 75 years) and strictly anticoagulated patients. Ablation may be associated with reduced risk of all-cause death and cardiovascular death in real-world AF patients with HF, supporting the role of AF ablation in patients with HF.

scholarly journals Straight Back Syndrome with Heart Failure and Myocardial Injury Diagnosis by Cardiac Magnetic Resonance

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Chen Z ◽  
◽  
Lin C ◽  
Nan J ◽  
Zhuang X ◽  
...  
Keyword(s):  
Heart Failure ◽  
Differential Diagnosis ◽  
Cardiac Magnetic Resonance ◽  
Magnetic Resonance ◽  
Cardiac Dysfunction ◽  
Myocardial Injury ◽  
Autosomal Dominant ◽  
Hereditary Disease ◽  
Patients With Heart Failure ◽  
Great Vessels

Straight Back Syndrome (SBS) is an autosomal dominant hereditary disease characterized by abnormal thoracic skeletal dysplasia, which leads to a decrease in anteroposterior diameter of the thorax and thereby the heart and great vessels are compressed and displaced. We reported a case with SBS showing cardiac dysfunction and myocardial injury by CMR. This case should remind physicians of the importance of differential diagnosis in patients with heart failure and arrhythmia.

scholarly journals AMYLOIDOSIS HEART IN ELDERLY

2015 ◽  
pp. 28-36
Author(s):  
L. I. Dvoretsky ◽  
O. Yu. Karpova ◽  
E. N. Alexandrova ◽  
S. Yu. Petrova
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Differential Diagnosis ◽  
Clinical Case ◽  
Clinical Presentation ◽  
The Elderly ◽  
Diagnostic Methods ◽  
Different Types

The data on the incidence, clinical presentation, diagnostic methods amyloidosis of the heart in different types of amyloidosis. The features of the current heart amyloidosis, highlights the difficulty of diagnosis and differential diagnosis in the elderly. As an illustration, describes a clinical case of amyloidosis of the heart in 83-year-old patient, the main manifestation of which was congestive heart failure.

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