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Age and Ageing 2003; 32: 519-524
© 2003, British Geriatrics Society

Research Paper

Diastolic heart failure in older people

M. Sinead O’Mahony1, M. F. Victor Sim2, Shu F. Ho3, John A. Steward4, Maurice Buchalter5 and Michael Burr6

1 University of Wales College of Medicine, Llandough Hospital, Penarth, UK
2 Llandough Hospital, Penarth, UK
3 Royal Shrewsbury Hospital, Shropshire, UK
4 Welsh Cancer Intelligence and Surveillance Unit, Cardiff, UK
5 Department of Cardiology, University Hospital of Wales, Cardiff, UK
6 Department of Epidemiology, Statistics and Public Health, University of Wales College of Medicine, Cardiff, UK

Address correspondence to: M. S. O’Mahony, University Department of Geriatric Medicine, 3rd Floor, Academic Centre, Llandough Hospital, Penlan Road, Penarth CF64 2XX, UK. Fax: (+44) 29 2071 1267. Email: omahonyms{at}cf.ac.uk

Abstract

Objectives: to determine the prevalence of diastolic heart failure in older people in the community, identify associated risk factors and measure its impact on function and quality of life.

Design: cross-sectional population-based study.

Methods: a two-stage random sample of 500 subjects was drawn from 5,002 subjects aged 70 years and over living at home. Diastolic heart failure was diagnosed by a panel of three physicians, based on clinical assessment and echocardiographic indicators of diastolic dysfunction.

Main outcome measures: prevalence of diastolic heart failure and its effect on function and quality of life as measured by Nottingham Extended Activities of Daily Living, Hospital Anxiety and Depression and SF-36 questionnaires.

Results: the prevalence of diastolic heart failure was 5.54% (95% CI = 3.71, 7.87) and was higher in women (8.32%) than in men (1.25%), P = 0.008. On multivariate analysis of variance, diastolic heart failure was associated with female gender and history of ischaemic heart disease. Subjects with diastolic heart failure had signiWcantly poorer functional status and physical health than those without heart failure.

Conclusions: Diastolic heart failure is relatively common in older people and is associated with adverse affects in older people’s lives.

Keywords: diastolic heart failure, older people, quality of life, activities of daily living

Received August 29, 2002; accepted in revised form March 25, 2003.


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