Multimorbidity in Older Adults with Heart Failure

Kumar Dharmarajan, Shannon M Dunlay

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


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
StateAccepted/In press - 2016


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

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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