A Case of Multifaceted Assessment in an Elderly Patient With Acute Decompensated Heart Failure
| Autor: | Atsushi Iwata, Katsura Yorinaga, Midori Miyazaki, Yuhei Shiga, Rie Koyoshi, Ken Kitajima, Yasunori Suematsu, Takashi Kuwano, Hideto Sako, Kanta Fujimi, Shin-ichiro Miura |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Cardiac function curve
medicine.medical_specialty Acute decompensated heart failure Case Report Heart failure Comorbidity 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Dementia 030212 general & internal medicine Survival rate Medication adherence business.industry Biomarker Brain natriuretic peptide medicine.disease Emergency medicine Cardiology Life expectancy Cardiology and Cardiovascular Medicine business Nutrition assessment |
| Zdroj: | Cardiology Research |
| ISSN: | 1923-2837 1923-2829 |
| Popis: | Heart failure (HF) is a common health problem worldwide, including in Japan. Unfortunately, patient outcomes remain poor, with a 5-year survival rate of approximately 50%. Therefore, we need to assess the precise conditions, including cardiac function, in patients with HF, particularly in the elderly. We performed a multifaceted assessment in an elderly patient with HF on admission and at discharge using eight different evaluations (the mean life expectancy using the Seattle Heart Failure Model (SHFM), the severity of dementia, nutrition, medication adherence, biomarker (the level of brain natriuretic peptide in blood), sociality, performance and comorbidity). Each parameter was scored on a 5-point scale (excellent = 5 points; good = 4 points; fair (average) = 3 points; poor = 2 points; failure = 1 point; maximum total points of 40) (Fukuoka University Heart Failure Scoring System, FUFS). An 86-year-old male patient who complained of dyspnea and lower-leg edema was admitted to our university hospital due to acute decompensated HF. After treatment, his symptoms improved, as did his cardiothoracic ratio, plural effusion and pulmonary congestion, and he exhibited compensated HF. His total score improved from 28 to 32 points, and his mean life expectancy using SHFM increased from 4.9 to 5.4 years. We evaluated the precise conditions using a multifaceted assessment strategy in an elderly patient with HF. The strategy was useful for evaluate the patient's condition in this case. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|