Dislipidemia Pada Pasien Lanjut Usia Dengan Congestive Heart Failure: Sebuah Laporan Kasus
Year: 2026
Type: other
Abstract: Background: Congestive heart failure (CHF) is a complex clinical syndrome and remains one of the leading causes of morbidity and mortality among older adults. The presence of dyslipidemia in patients with CHF may worsen prognosis by increasing the risk of atherosclerosis and adverse cardiovascular events. Although pharmacological therapy is the cornerstone of CHF management, optimal control of cardiovascular risk factors is not always achieved through medication alone. Non-pharmacological interventions, including health education and lifestyle modification, play an important role as adjunctive therapies to improve patient outcomes. Case Presentation: A 70-year-old man with a history of CHF since 2015 and hyperthyroidism diagnosed in 2001 presented for routine health monitoring. The patient had been receiving regular pharmacological treatment consisting of sacubitril/valsartan, spironolactone, warfarin, and calcium lactate. However, laboratory evaluation revealed an increase in total cholesterol levels from 187 mg/dL to 245 mg/dL. Lifestyle assessment demonstrated frequent consumption of high-fat foods, low levels of physical activity, and limited understanding of the relationship between dyslipidemia and CHF. The patient subsequently received non-pharmacological interventions, including health education, nutritional therapy based on the Dietary Approaches to Stop Hypertension (DASH) principles tailored to the nutritional requirements of older adults, and recommendations for light physical activity according to the patient's tolerance. Follow-up evaluation showed improvements in dietary habits and physical activity, accompanied by a reduction in total cholesterol levels to 174 mg/dL while maintaining a stable clinical condition. Conclusion: This case highlights that pharmacological therapy alone may not be sufficient to adequately control all cardiovascular risk factors in patients with CHF. Non-pharmacological interventions, including health education, nutritional therapy, and increased physical activity, may serve as important adjunctive strategies to improve lipid profiles in older adults with CHF and dyslipidemia.
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7164950664