Multimorbidity in Older Adults with Heart Failure

Kumar Dharmarajan, Shannon M Dunlay

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Multimorbidity is common among older adults with heart failure and creates diagnostic and management challenges. Diagnosis of heart failure may be difficult, as many conditions commonly found in older persons produce dyspnea, exercise intolerance, fatigue, and weakness; no singular pathognomonic finding or diagnostic test differentiates them from one another. Treatment may also be complicated, as multimorbidity creates high potential for drug-disease and drug-drug interactions in settings of polypharmacy. The authors suggest that management of multimorbid older persons with heart failure be patient- rather than disease-focused to best meet patients' unique health goals and minimize risk from excessive or poorly coordinated treatments.

Original languageEnglish (US)
JournalClinics in Geriatric Medicine
DOIs
StateAccepted/In press - 2016

Fingerprint

Comorbidity
Heart Failure
Polypharmacy
Drug Interactions
Routine Diagnostic Tests
Pharmaceutical Preparations
Dyspnea
Fatigue
Exercise
Health
Therapeutics

Keywords

  • Cognitive impairment
  • Geriatrics
  • Health outcomes
  • Heart failure
  • Multimorbidity
  • Multiple chronic conditions
  • Polypharmacy
  • Quality of care

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Multimorbidity in Older Adults with Heart Failure. / Dharmarajan, Kumar; Dunlay, Shannon M.

In: Clinics in Geriatric Medicine, 2016.

Research output: Contribution to journalArticle

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