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Does Device Therapy Have a Crucial Role in the Treatment of Heart Failure among Very Elderly People?

      Most of evidences for pharmacological and nonpharmacological therapy for heart failure are established in relatively younger patients. However, in our country, inhospital patients are now over 80 years old in average according to the rapid aging demographics. Especially, invasive therapy including implantable devices for heart failure needs to be discussed for the indication in terms of cost and risk and benefit in such very old patients. I will discuss in this session about the dilenmma of device therapy on cardiac resynchronization therapy, implantable cardiac defibrillator, and left ventricular assist device.
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