Related Experiment Video
Updated: Mar 17, 2026
09:19
Short Session High Intensity Interval Training and Treadmill Assessment in Aged Mice
Published on: February 2, 2019
10.6K
Geriatric Cardiology: An Emerging Discipline
John A Dodson1, Daniel D Matlock2, Daniel E Forman3
1Leon H. Charney Division of Cardiology and Department of Medicine, New York University School of Medicine, New York, New York, USA; Department of Population Health, New York University School of Medicine, New York, New York, USA.
The Canadian Journal of Cardiology
|August 2, 2016
Summary
Geriatric cardiology addresses the needs of older, complex cardiovascular disease patients. This emerging field integrates geriatric principles into cardiac care for improved outcomes.
Area of Science:
- Cardiology
- Geriatric Medicine
Background:
- Cardiovascular disease (CV) patient demographics are shifting towards older individuals with increased comorbidities and geriatric conditions like frailty and cognitive impairment.
- These complex patient profiles challenge traditional cardiovascular disease management and outcomes.
- Technological advancements offer expanded therapeutic options for even the most advanced CV disease cases.
Purpose of the Study:
- To review the emergence and rationale of geriatric cardiology as a specialized discipline.
- To outline current geriatric cardiology program approaches.
- To discuss future directions and training pathways in geriatric cardiology.
Main Methods:
- This review synthesizes current literature and expert perspectives on geriatric cardiology.
- It examines the integration of geriatric medicine principles into cardiovascular practice.
- The review discusses the evolving roles and responsibilities of geriatric cardiologists.
Main Results:
- Geriatric cardiology integrates comprehensive geriatric assessment, medication reduction, and team-based care with traditional CV management.
- Explicit incorporation of patient goals is a key component of geriatric cardiology.
- The discipline aims to optimize care for older adults with complex cardiovascular conditions.
Conclusions:
- Geriatric cardiology is an essential emerging field adapting to the evolving needs of older cardiovascular patients.
- Standardized training pathways and clinical program structures are still developing.
- This interdisciplinary approach promises to enhance the management and outcomes of complex geriatric cardiovascular patients.
Related Concept Videos
01:27Pharmacodynamics in Geriatric Patients: Effects of Age
309
Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
309
01:15Drug Dosing: Geriatric Patients
344
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
344
01:29Cardiomyopathy V: Interprofessional Care
584
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
584
01:18Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion
308
In geriatric patients, renal physiology undergoes significant changes, including diminished renal blood flow and a lower glomerular filtration rate (GFR), leading to alterations in medication clearance. Drugs such as aminoglycoside antibiotics, lithium, and digoxin, which rely on glomerular filtration for removal from the body, particularly impact pharmacokinetics. These drugs tend to have slower clearance rates in older adults, necessitating careful dosage considerations.Evaluation of renal...
308
01:22Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Absorption
793
As individuals age, their body's physiology evolves, affecting drug pharmacokinetics. The most apparent changes occur in the gastrointestinal tract, where an increase in gastric pH, a delay in gastric emptying, and a reduction in gastrointestinal motility are observed. Remarkably, these changes do not substantially modify the absorption of orally administered drugs, particularly those absorbed via passive diffusion.Transdermal drug delivery emerges as a highly viable method for older adults due...
793
01:00Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution
318
Drug distribution in the human body is influenced by several factors, including plasma protein concentration, body composition, blood flow, tissue-protein concentration, and tissue fluid pH. Among these, changes in plasma protein concentration and body composition due to aging significantly affect how drugs are distributed within the body. Specifically, aging is associated with a decrease in albumin levels by about 10% and an increase in α1-acid glycoprotein levels. These alterations are...
318