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Heart failure in middle biological age: diagnostic methods and therapeutic approaches.

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Title: Heart failure in middle biological age: diagnostic methods and therapeutic approaches.
Alternate Title: Insuficiencia cardíaca en la edad biológica media: métodos diagnósticos y abordajes terapéuticos.
Authors: Dudaeva, Aida Eduardovna1 aidaenis237@gmail.com, Gabovakhova, Naida Gasanovna2 ngabovahova@gmail.com, Balyanin, Daniil Petrovich3 balyanin17@yandex.ru, Umalatov, Adam Ismailovich4 tojje96@mail.ru, Urusova, Diana Borisbievna5 urusova.diana@icloud.com, Abdulkhalikova, Jennet Ragimovna5 abdulhalikova-jjj@yandex.ru, Gamidov, Magomedseid Girametdinovich6 gamid.gamidov55@gmail.com
Source: Revista Latinoamericana de Hipertensión. 2025, Vol. 20 Issue 2, p165-173. 9p.
Subjects: HEART failure patients, CORONARY disease, THERAPEUTICS, MAGNETIC resonance imaging, MINERALOCORTICOID receptors
Abstract (English): Heart failure (HF) is a complex and progressive disease in which the heart is unable to supply the body with sufficient blood and oxygen. Recently, there has been increasing attention to the study of HF in people of middle biological age, when the disease may be latent or manifest itself in a form other than the classic symptoms. The diagnosis of heart failure in this age group represents a significant challenge, as the manifestations of the disease may be subtle and overlap with other age-related diseases. The main methods of diagnosing HF include clinical observations, analyses, instrumental investigations (ECG, echocardiography, chest radiography) and laboratory tests such as determination of natriuretic peptide levels. Effective diagnosis requires a comprehensive approach that includes evaluation of the patient's complaints, historical data, and the use of modern technologies such as magnetic resonance imaging. Therapeutic approaches to the treatment of middle-aged HFare varied and include drug treatment (ACE inhibitors, beta-blockers, mineralocorticoid receptor antagonists) as well as non-drug methods such as lifestyle changes, weight control and diet. In some cases, surgical intervention such as pacemakers or heart transplantation is indicated. It is also important to consider co-morbid conditions such as hypertension, diabetes mellitus and coronary heart disease, which require an individualized approach to treatment. The article discusses methods of diagnosis and treatment of heart failure in middle-aged patients, as well as the role of prevention and early diagnosis in improving the quality of life and increasing the life expectancy of this category of patients. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): La insuficiencia cardíaca (IC) es una enfermedad compleja y progresiva en la que el corazón no puede suministrar al cuerpo suficiente sangre y oxígeno. Recientemente, se ha prestado cada vez más atención al estudio de la IC en personas de mediana edad biológica, cuando la enfermedad puede estar latente o manifestarse de una forma distinta a los síntomas clásicos. El diagnóstico de insuficiencia cardíaca en este grupo de edad representa un desafío importante, ya que las manifestaciones de la enfermedad pueden ser sutiles y superponerse con otras enfermedades relacionadas con la edad. Los principales métodos de diagnóstico de la insuficiencia cardíaca incluyen observaciones clínicas, análisis, investigaciones instrumentales (ECG, ecocardiografía, radiografía de tórax) y pruebas de laboratorio como la determinación de los niveles de péptidos natriuréticos. Un diagnóstico eficaz requiere un enfoque integral que incluya la evaluación de las quejas del paciente, datos históricos y el uso de tecnologías modernas como la resonancia magnética. Los enfoques terapéuticos para el tratamiento de la insuficiencia cardíaca en la mediana edad son variados e incluyen tratamiento farmacológico (inhibidores de la ECA, betabloqueantes, antagonistas de los receptores de mineralocorticoides), así como métodos no farmacológicos, como cambios en el estilo de vida, control de peso y dieta. En algunos casos está indicada una intervención quirúrgica como marcapasos o trasplante de corazón. También es importante considerar condiciones comórbidas como la hipertensión, la diabetes mellitus y la enfermedad coronaria, que requieren un enfoque de tratamiento individualizado. El artículo analiza los métodos de diagnóstico y tratamiento de la insuficiencia cardíaca en pacientes de mediana edad, así como el papel de la prevención y el diagnóstico precoz para mejorar la calidad de vida y aumentar la esperanza de vida de esta categoría de pacientes. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Heart failure (HF) is a complex and progressive disease in which the heart is unable to supply the body with sufficient blood and oxygen. Recently, there has been increasing attention to the study of HF in people of middle biological age, when the disease may be latent or manifest itself in a form other than the classic symptoms. The diagnosis of heart failure in this age group represents a significant challenge, as the manifestations of the disease may be subtle and overlap with other age-related diseases. The main methods of diagnosing HF include clinical observations, analyses, instrumental investigations (ECG, echocardiography, chest radiography) and laboratory tests such as determination of natriuretic peptide levels. Effective diagnosis requires a comprehensive approach that includes evaluation of the patient's complaints, historical data, and the use of modern technologies such as magnetic resonance imaging. Therapeutic approaches to the treatment of middle-aged HFare varied and include drug treatment (ACE inhibitors, beta-blockers, mineralocorticoid receptor antagonists) as well as non-drug methods such as lifestyle changes, weight control and diet. In some cases, surgical intervention such as pacemakers or heart transplantation is indicated. It is also important to consider co-morbid conditions such as hypertension, diabetes mellitus and coronary heart disease, which require an individualized approach to treatment. The article discusses methods of diagnosis and treatment of heart failure in middle-aged patients, as well as the role of prevention and early diagnosis in improving the quality of life and increasing the life expectancy of this category of patients. [ABSTRACT FROM AUTHOR]
ISSN:18564550
DOI:10.5281/zenodo.14911431