CAJ | 학술논문

心力衰竭（心衰）是老年人常见和主要的疾病。老年人心血管系统及其他脏器结构与功能均呈老龄性变化。心脏储备能力下降，易患高血压、冠心病等多种心血管疾病；同时常又合并多器官疾病。在感染、心肌缺血等多种诱发因素作用下，极易发生心力衰竭。但临床症状较为复杂、多变，且有时又不典型，因此极易误诊或漏诊，故必须及时做出准确的诊断与治疗。老年人心衰必须采用综合治疗措施，并遵循个体化的治疗原则；加强对治疗的指导与管理，缓解症状、提高生活质量、改善预后。
심력쇠갈（심쇠）시노년인상견화주요적질병。노년인심혈관계통급기타장기결구여공능균정노령성변화。심장저비능력하강，역환고혈압、관심병등다충심혈관질병；동시상우합병다기관질병。재감염、심기결혈등다충유발인소작용하，겁역발생심력쇠갈。단림상증상교위복잡、다변，차유시우불전형，인차겁역오진혹루진，고필수급시주출준학적진단여치료。노년인심쇠필수채용종합치료조시，병준순개체화적치료원칙；가강대치료적지도여관리，완해증상、제고생활질량、개선예후。
Heart failure (HF) is a common and major disease in the elderly, in whom, the structures and functions of cardiac and other systems are degraded, and the cardiac reserve capacity is decreased. So, they are susceptible to hypertension, coronary heart diseases and other cardiovascular diseases and commonly accompanied with multi-organ diseases. When they suffer from infection, myocardial ischemia or other inducing factors, they are prone to HF. Because of the complicated, various and even atypical clinical signs and symptoms, the HF is easily misdiagnosed or missed in the elderly. It is of great importance to make a timely and accurate diagnosis and treatment. Comprehensive treatment measures should be carried out for the elderly with HF and be based on personalized therapeutic principle. It is necessary to strengthen the guidance of treatment and management, to relieve the symptoms, and improve quality of life and prognosis in the involved ones.