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Published on: March 27, 2018
[Chronic ischaemic heart disease in the elderly]
Manuel Martínez-Sellés1, Ricardo Gómez Huelgas2, Emad Abu-Assi3
1Sociedad Española de Cardiología (SEC), Sección de Cardiología Geriátrica, Servicio de Cardiología, Hospital General Universitario Gregorio Marañón, Universidad Europea y Universidad Complutense, Madrid, España.
Insights
This consensus document highlights the unique needs of elderly patients with chronic ischaemic heart disease. Comprehensive assessment and tailored medical treatment considering aging factors are crucial for optimal care.
Area of Science:
- Cardiology
- Geriatrics
- Internal Medicine
Background:
- Focuses on the specific characteristics of elderly patients with chronic ischaemic heart disease.
- Emphasizes a multidisciplinary approach involving multiple Spanish medical societies.
Framework:
- Advocates for a comprehensive assessment including comorbidity, frailty, functional status, and polypharmacy.
- Highlights the importance of considering potential drug interactions in elderly patients.
Implementation:
- Integrates perspectives from the Spanish Society of Cardiology, Spanish Society of Internal Medicine, Spanish Society of Primary Care Physicians, and Spanish Society of Geriatrics and Gerontology.
- Provides guidance for managing chronic ischaemic heart disease in the elderly population.
Implications:
- Concludes that medical treatment is generally the preferred option for elderly patients.
- Stresses the need to individualize treatment based on comprehensive assessment and age-related biological changes.
Abstract:
It is the aim of this manuscript to take into account the peculiarities and specific characteristics of elderly patients with chronic ischaemic heart disease from a multidisciplinary perspective, with the participation of the Spanish Society of Cardiology (sections of Geriatric Cardiology and Ischaemic Heart Disease/Acute Cardiovascular Care), the Spanish Society of Internal Medicine, the Spanish Society of Primary Care Physicians and the Spanish Society of Geriatrics and Gerontology. This consensus document shows that in order to adequately address these elderly patients a comprehensive assessment is needed, which includes comorbidity, frailty, functional status, polypharmacy and drug interactions. We conclude that in most patients medical treatment is the best option and that this treatment must take into account the above factors and the biological changes associated with aging.
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