Retrospective Analysis Of The Etiology And Clinical Characteristics Of Elderly Patients With Muiltifactor Heart Failure

Objective: To provide reference for the clinical diagnosis and treatment of senile multiple etiology and chronic heart failure by analyzing and comparing and discussing the etiology,accompanying disease,distribution characteristics of multiple etiology,cardiac function grading,type of heart failure and plasmaNT-proBNP level in elderly patients with multiple etiology and chronic heart failure.Methods: From the inpatient cases in the internal medicine ward,516 elderly patients with multifactor heart failure who were hospitalized from January 2013 to January 2018 were divided into 3 age groups with60-69 years,70-79 years and?80 years,compared with the clinical differences in their existence.Results: The main underlying etiology of multifactor heart failure in elderly was found in 259 cases(50.2%)of coronary heart disease,76 cases of hypertension(14.7%)and 67 cases of cardiac valvular disease(13%).The types of heart failure were mainly heart failure with ejection fraction retention209 cases(40.5%),the cardiac function was mainly Class III,the elderly multifactor heart failure was dominated by double etiology and three etiology,and the most common combination of double etiology was:coronary heart disease-arrhythmia 31(18.8%),coronary heart disease-hypertension 27(16.4%).The most common combinations of the three etiology are: hypertension-coronary heart disease-Arrhythmia41(21.4%),hypertension-coronary heart disease-Type 2 diabetes24(12.5%).The plasmaNT-proBNP concentration levels of different heart failure types in elderly patients with multifactor heart failure were followed by heart failure with lower ejection fraction,heart failure retained by ejection fraction,and heart failure in the middle of ejection fraction.In the age group of 60-69,the degree of plasmaNT-proBNP was related to the level of cardiac function,and the concentration of plasmaNT-proBNPincreased with the increase of cardiac function grading.Conclusion: The type of heart failure in elderly with multifactor heart failure is dominated by heart failure with ejection fraction.Cardiac function was dominated by Class III,and the failure with double etiology and three etiology combinations were the most common and the level of plasma NT-proB-NP decreased ejection fraction higher than other types of heart failure.