{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T15:33:42Z","timestamp":1776785622947,"version":"3.51.2"},"reference-count":23,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2017,5,21]],"date-time":"2017-05-21T00:00:00Z","timestamp":1495324800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To investigate the clinical features of heart failure in extremely elderly patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed 1163 consecutive hospitalized heart failure patients. The patients were divided into an extremely elderly group (\u226585 years\u2010of\u2010age, <jats:italic>n<\/jats:italic> = 88) and a non\u2010extremely elderly group (&lt;85 years\u2010of\u2010age, <jats:italic>n<\/jats:italic> = 1075).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The extremely elderly group had higher rates of hypertension, chronic kidney disease, anemia, higher systolic blood pressure and lower body mass index, and lower use of \u03b2\u2010blockers and anticoagulants compared with the non\u2010extremely elderly group. During the mean follow\u2010up period of 1038 days, the extremely elderly group had higher mortality compared with the non\u2010extremely elderly group (<jats:italic>P<\/jats:italic> &lt; 0.001). In multivariate analysis, in the non\u2010extremely elderly group, age (HR 1.027, <jats:italic>P<\/jats:italic> &lt; 0.001), body mass index (HR 0.919, <jats:italic>P<\/jats:italic> &lt; 0.001), New York Heart Association III or IV (HR 3.626, <jats:italic>P<\/jats:italic> &lt; 0.001), preserved ejection fraction (HR 0.553, <jats:italic>P<\/jats:italic> &lt; 0.001), anemia (HR 1.941, <jats:italic>P<\/jats:italic> &lt; 0.001), \u03b2\u2010blockers (HR 0.695, <jats:italic>P<\/jats:italic> = 0.028) and renin\u2013angiotensin system inhibitors (HR 0.603, <jats:italic>P<\/jats:italic> = 0.001) were independent predictors for all\u2010cause death. In contrast, atrial fibrillation (HR 2.042, <jats:italic>P<\/jats:italic> = 0.015) and renin\u2013angiotensin system inhibitors (HR 0.470, <jats:italic>P<\/jats:italic> = 0.014) were independent predictors for all\u2010cause death in the extremely elderly group, suggesting that the prognostic factors were different between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We should be careful of atrial fibrillation and renin\u2013angiotensin system inhibitors in managing extremely elderly patients with heart failure. <jats:bold>Geriatr Gerontol Int 2017; 17: 2194\u20132199<\/jats:bold>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.13060","type":"journal-article","created":{"date-parts":[[2017,5,23]],"date-time":"2017-05-23T22:42:15Z","timestamp":1495579335000},"page":"2194-2199","source":"Crossref","is-referenced-by-count":5,"title":["Clinical features of extremely elderly patients with heart 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