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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.
Elderly patients with chronic ischaemic heart disease require a comprehensive assessment, considering factors like frailty and polypharmacy. Medical treatment, tailored to aging changes, is generally the preferred approach for managing this condition.
Area of Science:
- Cardiology
- Geriatrics
- Internal Medicine
Background:
- Elderly patients with chronic ischaemic heart disease present unique challenges.
- A multidisciplinary approach is crucial for effective management.
Purpose of the Study:
- To outline the specific considerations for elderly patients with chronic ischaemic heart disease.
- To provide guidance for a multidisciplinary approach to their care.
Main Methods:
- Consensus document development.
- Involvement of multiple Spanish medical societies.
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 often the optimal choice for elderly patients with chronic ischaemic heart disease.
- Treatment strategies must be individualized based on a thorough patient assessment.
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