Heart Failure in the Elderly: the Role of Biological and Sociocultural Aspects Related to Sex.

IF 3.8 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Current Heart Failure Reports Pub Date : 2023-10-01 Epub Date: 2023-07-27 DOI:10.1007/s11897-023-00619-9

Pablo Díez-Villanueva, César Jiménez-Méndez, María Thiscal López-Lluva, Samantha Wasniewski, Jorge Solís, Leticia Fernández-Friera, Manuel Martínez-Sellés

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引用次数: 0

Abstract

Purpose of review: Heart failure (HF) entails poor prognosis, with high morbidity and mortality burden, particularly in elderly patients. Notably, important sex differences have been described between men and women with HF. In this regard, some biological and sociocultural aspects related to sex may play a key role in the different development and prognosis of HF in elderly men and women.

Recent findings: Important differences between men and women with HF, especially in the elderly population, have been specifically addressed in recent studies. Consequently, specific differences in biological and sociocultural aspects have been found to associate differences in pathophysiology, baseline clinical profile, and prognosis according to sex. Moreover, differences in comorbidities and frailty and other geriatric conditions, frequent in elderly population with HF, have also been described. Biological and sociocultural differences related to sex are key in the different clinical presentation and prognosis of heart failure in elderly women. Further studies will be required to better understand some other underlying reasons that may differently impact prognosis in elderly patients with HF.

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老年人心力衰竭：与性别相关的生物学和社会文化方面的作用。

综述目的：心力衰竭（HF）预后不良，发病率和死亡率高，尤其是老年患者。值得注意的是，患有HF的男性和女性之间存在重要的性别差异。在这方面，与性别相关的一些生物学和社会文化方面可能在老年男性和女性HF的不同发展和预后中发挥关键作用。最近的研究结果：最近的研究特别指出了患有HF的男性和女性之间的重要差异，尤其是在老年人群中。因此，生物学和社会文化方面的特定差异已被发现与病理生理学、基线临床特征和根据性别的预后的差异有关。此外，还描述了合并症、虚弱和其他老年疾病的差异，这些疾病在HF老年人群中很常见。与性别相关的生物学和社会文化差异是老年妇女心力衰竭不同临床表现和预后的关键。需要进一步的研究来更好地了解可能对老年HF患者预后产生不同影响的其他一些潜在原因。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Heart Failure Reports Medicine-Emergency Medicine

CiteScore

5.30

自引率

0.00%

发文量

期刊介绍： This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of heart failure. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as investigative, pharmacologic, and nonpharmacologic therapies, pathophysiology, and prevention. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.