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Challenges in treating heart failure with comorbidities

MedExpress Team

Piotr Wójcik

Published June 15, 2023 18:55

Challenges in treating heart failure with comorbidities - Header image
Fot. Getty Images/iStockphoto
There are about 1.2 million people living with heart failure in Poland. Many of them struggle with other diseases in addition to this, such as kidney disease and chronic coronary syndrome. Multimorbidity is also a major problem, especially in the elderly. As a result, doctors often face difficulties in optimally selecting treatment.


As Prof. Piotr Jankowski, chairman of the Health Promotion Committee of the Polish Cardiac Society, points out, the problem of heart failure in the elderly is a growing one.

- It used to be thought that most people with heart failure were patients with reduced left ventricular ejection fraction. Now it is recognized that roughly half of patients have a preserved ejection fraction. However, the elderly population is by far the predominant group of heart failure patients with preserved ejection fraction. This has both diagnostic and therapeutic implications, the professor says.

It turns out that the causes of heart failure in the elderly are somewhat different than in younger people. Among the elderly, the most common causes are hypertension, diabetes or valvular defect...

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