Prevention of frailty and cognitive impairment in elderly patients with heart failure

Abstract

Freil is defined as a condition in which it is more vulnerable to stress because the physiological reserve capacity of the whole body is decreased by various factors in the elderly, and it is defined as a condition in which it is more likely to be in need of nursing care. It has been reported that heart failure patients are likely to develop sarcopenia, which is a component of physical flail, mainly from muscle mass and muscle weakness due to decreased cardiac output, and the interaction between heart failure and flail has been noted Yes. On the other hand, the concept of cognitive flail has been proposed as a condition in which cognitive decline and physical flail occur simultaneously under a common pathophysiological basis. Although heart failure, flail, and cognitive dysfunction appear to be independent pathologies, they are built on a common foundation such as malnutrition, inflammation, and neuroendocrine abnormalities, and they form a vicious circle while interacting with each other. In order to break the vicious cycle, appropriate interventions should be made at the stage of pre-flille and mild cognitive impairment (MCI), which are still considered to be reversible. In addition to drug treatment for heart failure, exercise therapy and nutritional therapy have been shown to be effective for flail and cognitive dysfunction as an intervention method. As elderly heart failure is a progressive and fatal condition that cannot be eradicated at times, it is necessary to support decision making with a view to terminal care. It is expected that the number of patients with super-old heart failure is expected to increase further, and it will be discovered early at the prefllele and MCI stages, and in addition to drug treatment for heart failure, appropriate exercise therapy and nutrition therapy will be performed, physical function, cog It is significant to aim at maintaining the function. In order to maintain and improve the ADL level, it is required to provide a comprehensive and comprehensive medical care system that establishes a multidisciplinary cooperation system as well as medical workers.