Management of Heart Failure in Older Adults with Dementia

  • Omar Alzhrani
  • Kathryn AgarwalEmail author
  • Nadia Fida


Cognitive impairment is highly prevalent in patients with heart failure (HF) and adds significant complexity to the management. Caregivers should be involved in the treatment plan and education to improve the outcomes. Guideline-directed medical therapy (GDMT) should be utilized in all patients with HF due to reduced ejection fraction to the degree that it is feasible. Since prognostic tools for HF do not include cognitive impairment or frailty, the pharmacologic and non-pharmacologic management of HF patients with multiple comorbidities and dementia must be individualized. The patient’s HF symptoms, and the degree of cognitive impairment, as well as frailty and functional status should be evaluated frequently and related to prognosis and planning in accordance with the patient and caregiver’s priorities of care.


Heart failure Older adults Cognitive impairment Dementia 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Section of Geriatrics and Palliative Medicine, Baylor College of MedicineHoustonUSA
  2. 2.Department of Cardiology, DeBakey Heart and Vascular Center, Houston Methodist HospitalHoustonUSA

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