CAJ | 학술논문

心力衰竭（HF）是老年人群中发病率、死亡率较高的心血管疾病，老年人HF的临床表现和治疗措施均具有自身特点，在临床诊断和处理过程中需特别注意。一般来讲，缺血性心脏病、高血压病是老年人HF的主要病因；由于老年HF患者常合并多系统、多器官疾病，因此HF临床症状多不典型，易被其他临床情况掩盖；借助于超声心动图和N端B型利钠肽前体的测定可以明确诊断。老年人HF的治疗原则依然是控制HF症状，提高生活质量和改善预后；临床实践中，需根据老年人自身特点调整各种HF治疗药物，必须考虑到老年人HF的病因、是否同时合并的多种疾病以及整体的功能状态。
심력쇠갈（HF）시노년인군중발병솔、사망솔교고적심혈관질병，노년인HF적림상표현화치료조시균구유자신특점，재림상진단화처리과정중수특별주의。일반래강，결혈성심장병、고혈압병시노년인HF적주요병인；유우노년HF환자상합병다계통、다기관질병，인차HF림상증상다불전형，역피기타림상정황엄개；차조우초성심동도화N단B형리납태전체적측정가이명학진단。노년인HF적치료원칙의연시공제HF증상，제고생활질량화개선예후；림상실천중，수근거노년인자신특점조정각충HF치료약물，필수고필도노년인HF적병인、시부동시합병적다충질병이급정체적공능상태。
Heart failure (HF) is a common cardiovascular disease with higher morbidity and mortality in the aged population. Since the elderly have their own characteristics in the clinical manifestations and therapeutic measures of the disease, special attention should be paid to its clinical diagnosis and management. Generally speaking, ischemic cardiac disease and hypertension are the major causes of HF in the elderly. Because the HF in the elderly is often associated with multi-system, multi-organ diseases, its clinical symptoms are atypical, easily concealed by other clinical situations. With the aid of echocardiography and measurement of NT-proBNP, we can establish a diagnosis. The principles of HF treatment in the elderly are still to control clinical symptoms and improve the quality of life and prognosis. In clinical practice, medication should be modulated according to the specific conditions for each individual, taking the cause of HF, co-morbidities and overall functional status into consideration.