Related Experiment Video
Updated: Mar 22, 2026

Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery
Published on: March 27, 2018
[Chronic ischaemic heart disease in the elderly]
M Martínez-Sellés1, R Gómez Huelgas2, E 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
Elderly patients with chronic ischemic heart disease require a comprehensive assessment. Medical treatment, considering aging factors, is typically the best approach for these patients.
Area of Science:
- Cardiology
- Geriatrics
- Internal Medicine
Background:
- Elderly patients with chronic ischemic heart disease present unique challenges.
- A multidisciplinary approach is crucial for managing this population.
Purpose of the Study:
- To outline the specific considerations for elderly patients with chronic ischemic heart disease.
- To provide guidance from multiple medical societies on comprehensive patient assessment and treatment.
Main Methods:
- Consensus document development involving key Spanish medical societies.
- Multidisciplinary perspective incorporating geriatric cardiology, ischemic heart disease, internal medicine, primary care, and geriatrics.
Main Results:
- Comprehensive assessment is essential, including comorbidity, frailty, functional status, and polypharmacy.
- Biological changes associated with aging must be considered in treatment plans.
Conclusions:
- Medical treatment is generally the preferred option for elderly patients with chronic ischemic heart disease.
- Treatment strategies must be individualized based on a thorough assessment of the patient's overall condition and age-related factors.
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.
More Related Videos
Related Concept Videos
Ischemic Heart Disease: Overview
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
Imbalances in Cardiac Output
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
Coronary Artery Disease III: Clinical Manifestations
Heart Failure III: Clinical Manifestations
Heart Failure II: Pathophysiology
Coronary Artery Disease II: Pathophysiology

