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[Managing infarctions in elderly people]
Soins; La Revue De Reference Infirmiere
|June 5, 2015
Insights
Coronary disease management in those over 80 requires careful consideration of multiple health conditions. Geriatric assessment guides treatment, including revascularization, but pharmacological interventions need caution.
Area of Science:
- Cardiology
- Geriatrics
- Internal Medicine
Context:
- Coronary artery disease (CAD) is a significant health concern in individuals aged 80 and above.
- The presence of multiple comorbidities profoundly influences the care strategy for elderly patients with CAD.
- Comprehensive geriatric assessment is crucial for evaluating elderly patients with CAD.
Purpose:
- To outline the considerations for managing coronary artery disease in the elderly population (over 80).
- To highlight the role of geriatric assessment in treatment decisions for older adults with CAD.
- To discuss the application of revascularization techniques and the cautious use of pharmacotherapy in this demographic.
Summary:
- Coronary artery disease poses a frequent and serious threat to individuals over 80 years old.
- Patient management strategies are heavily dependent on the existence of associated pathologies.
- Revascularization techniques are viable options following a thorough geriatric assessment, though pharmacological treatments require careful introduction.
Impact:
- Provides guidance for clinicians managing complex cardiac cases in the very elderly.
- Emphasizes a holistic approach integrating cardiology and geriatric principles.
- Informs evidence-based practice for optimizing outcomes in octogenarian CAD patients.
Abstract:
Coronary disease is frequent and serious after the age of 80. The management of the elderly person's care depends on whether or not there is associated multiple pathology. After a global geriatric assessment, revascularisation techniques can also be used in this context. Caution must however be taken when introducing a pharmacological treatment.
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