Strategies for Optimizing Heart Failure Care in the Older Adult: A Scientific Statement From the American Heart Association.

Older adults, however, may encounter unique challenges in accessing and navigating comprehensive disease-modifying, guideline-directed therapies, thus limiting use among those at highest risk of cardiovascular death or worsening heart failure.

然而，老年人在获取和使用全面的疾病改变性、指南指导性治疗方面可能会遇到独特的挑战，这限制了那些心血管死亡或心力衰竭恶化风险最高的人群的使用。

Care of the older adult with heart failure requires tailored treatment plans to overcome barriers to effective therapies in this population.

老年心力衰竭患者的护理需要制定个性化的治疗计划，以克服这一人群有效治疗的障碍。

This scientific statement reviews the literature on care optimization for older adults (≥65 years of age) living with heart failure and highlights strategies for clinicians who aim to deliver patient-centered, evidenced-based heart failure care in the context of common comorbidities seen in older adults.

这篇科学声明回顾了关于老年心力衰竭患者护理优化的文献，并突出了临床医生在常见老年共病背景下提供以患者为中心、基于证据的心力衰竭护理的策略。

We discuss the consistent treatment effect and safety profiles of guideline-directed therapies for heart failure in older adults and how to manage multimorbidity, polypharmacy, frailty, and social needs using a shared decision-making framework.

我们讨论了老年心力衰竭患者指南推荐治疗的一致性效果和安全性，并探讨了如何使用共享决策框架来管理多病共存、多药物治疗、虚弱和社交需求。

In consideration of the complexity of heart failure care of the older adult, we highlight a structured framework for therapeutic considerations in the context of benefit-to-risk ratio, multimorbidity, and social needs.

考虑到老年心力衰竭护理的复杂性，我们强调了一个结构化的治疗考虑框架，以考虑效益与风险比、多病共存和社会需求的背景。

We offer practical guidance on the care of older adults with advanced comorbidities who may not have been adequately represented in landmark trials.

我们提供了关于照顾可能未在重大试验中得到充分代表的患有晚期合并症的老年人的实用指导。

We also consider implementation strategies, health services interventions, and supportive tools that may foster optimal care in older adults with heart failure.

我们还考虑了可能促进老年心力衰竭患者最佳护理的实施策略、卫生服务干预措施和支持工具。

This work is aimed at informing the practice of clinicians and health systems alike to improve outcomes and to reduce the morbidity of heart failure in older adults.

本研究旨在为临床医生和卫生系统提供信息，以改善老年心力衰竭患者的治疗结果并降低其发病率。