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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
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.
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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