Advanced age is a relevant risk factor for the heart failure (HF). The development of new pharmacological
and non-pharmacological approaches has determined an improvement in survival of patients with HF, leading
to the selection of an older and frailer population with HF. The clinical approach to such a complex population
should require clear indications to assist physicians during their daily practice, but there is a huge lack of evidence
regarding the treatment of HF in the oldest among the elderly patient population. In addition, the co-occurrence of
specific conditions that are extremely prevalent in older individuals with HF, such as cognitive impairment, comorbidities,
and polypharmacy, can further complicate the clinical man agement of this condition. Thus, a
multidisciplinary approach with the goal of recognizing and treating conditions associated with HF may be necessary
to improve the quality of care and to reduce expenditures. Several studies have assessed the effect of a comprehensive geriatric assessment
and management on quality of care in HF patients, demonstrating a substantial improvement in patient outcomes and administration
of the appropriate drug treatment.
Keywords: Heart failure, elderly, polypharmacy, multidimensional approach, oldest old.
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