geriatrРоссийский журнал гериатрической медициныRussian Journal of Geriatric Medicine2686-86362686-8709Сайт издателя10.37586/2686-8636-4-2020-313-326geriatr-85Research ArticleОБЗОРЫREVIEWSДоменный подход в ведении пожилых пациентов с сердечной недостаточностью. Настоящее и будущееDomain management as the best way of manage patient with heart failure and geriatrics syndromeshttps://orcid.org/0000-0002-1219-8398ФединМ. А.FedinM. A.

Федин Максим Александрович, врач

Москва

MD

Moscow

komrad.fedin2009@yandex.ruhttps://orcid.org/0000-0001-7815-4104ИзюмовА. Д.IzumovA. D.

Изюмов Андрей Дмитриевич, врач

Москва

MD

Moscow

V.jugularis@gmail.comhttps://orcid.org/0000-0003-0048-268XЕруслановаК. А.EruslanovaK. A.

Ерусланова Ксения Алексеевна, младший научный сотрудник лаборатории сердечно-сосудистого старения

Москва

телефон: +7(499)187-78-09

junior research fellow, Laboratory of vascular ageing

Moscow

Eruslanova_KA@rgnkc.ruhttps://orcid.org/0000-0002-1628-5093КотовскаяЮ. В.KotovskayaYu. V.

Котовская Юлия Викторовна, д-р мед. наук, профессор, заместитель директора по научной работе

Москва

телефон: +7(499)187-78-09

MD, PhD, professor, Deputy Director

Moscow

kotovskaya_yv@rgnkc.ruhttps://orcid.org/0000-0002-4193-688XТкачеваО. Н.TkachevaO. N.

Ткачева Ольга Николаевна, д-р мед. наук, профессор, директор Российского геронтологического научно-клинический центра

Москва

телефон: +7(499)187-64-67

MD, PhD, professor, Director

Moscow

tkacheva@rgnkc.ruФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России, Российский геронтологический научно-клинический центрРоссияPirogov Russian National Research Medical University of Ministry of Health of the Russian Federation, Russian Gerontology Research and Clinical CentreRussian Federation20200301202104313326Copyright © Федин М.А., Изюмов А.Д., Ерусланова К.А., Котовская Ю.В., Ткачева О.Н., 20212021Федин М.А., Изюмов А.Д., Ерусланова К.А., Котовская Ю.В., Ткачева О.Н.Fedin M.A., Izumov A.D., Eruslanova K.A., Kotovskaya Y.V., Tkacheva O.N.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.geriatr-news.com/jour/article/view/85

В настоящее время в мире увеличивается количество больных с хронической сердечной недостаточностью (ХСН). Так, только в России число больных с ХСН за последние десятилетия увеличилось почти в 2 раза. ХСН тесно взаимосвязана с процессами старения, которые включают клеточные и анатомические изменения сердца и сосудов. Ведение пациентов с ХСН не может не учитывать функциональный, когнитивный, эмоциональный и социальный статус пациента. Таким образом, при формировании индивидуального плана необходимо учитывать не только функциональный класс и фракцию выброса левого желудочка, но и наличие или отсутствие тех или иных гериатрических синдромов. В данной статье мы попытались посмотреть на пациента с ХСН через 4 домена: медицинское состояние, эмоциональный и когнитивный статус, физическая и социальная активность. Данный комплексный подход поможет улучшить как продолжительность, так и качество жизни пожилых пациентов.

Currently, the number of patients with chronic heart failure (CHF) is increasing in the world. In Russia, the number of patients with CHF has doubled over the past decades. CHF is closely related to the aging process, including cellular and anatomical changes in the heart and blood vessels. The management of CHF should consider the patient's functional, cognitive, emotional, and social status. Thus, when forming an individual plan, it is necessary to consider the functional class and left ventricular ejection fraction and the presence or absence of specific geriatric syndromes. In this article, we tried to look at a patient with CHF through 4 domains: medical condition, emotional and cognitive status, physical and social activity. This comprehensive approach will help improve both the duration and quality of life of older patients.

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The authors declare that there are no conflicts of interest present.