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The Application of Frailty to the Modern Cardiac Risk Assessment: a Case-Based Review

Matthew Finn1, Philip Green2

  • 1Department of Cardiology, Columbia University Medical Center, New York, NY, USA ; Division of Cardiology, 622 West 168th Street, PH 3-347, New York, NY 10032, USA.

Current Cardiovascular Risk Reports
|September 27, 2016
PubMed

Insights

Frailty assessment is crucial for older adults undergoing cardiac evaluations. Incorporating frailty data improves risk prediction and shared decision-making for cardiovascular procedures.

Area of Science:

  • Cardiology
  • Geriatrics
  • Clinical Risk Assessment

Background:

  • Cardiac risk assessment in aging populations is complex, especially concerning invasive procedures.
  • Frailty is a recognized predictor of adverse outcomes in cardiovascular conditions like coronary artery disease, heart failure, and aortic stenosis.

Purpose of the Study:

  • To review current clinical trial data on the impact of frailty in cardiovascular disease patients.
  • To provide a case-based appraisal for clinicians.
  • To enhance shared decision-making in cardiac care for older adults.

Main Methods:

  • Systematic review of existing clinical trial data.
  • Case-based appraisal of frailty's impact on cardiovascular disease outcomes.
  • Focus on data relevant to practicing clinicians.

Main Results:

  • Frailty is consistently associated with poorer outcomes in patients with various cardiovascular diseases.
  • Integrating frailty assessment can refine cardiac risk stratification.
  • Evidence supports frailty as a key factor in managing aging cardiac patients.

Conclusions:

  • Frailty is an essential consideration in cardiac risk assessment for older adults.
  • Utilizing frailty data improves the accuracy of risk prediction and patient-physician decision-making.
  • Further integration of frailty assessment into clinical practice is recommended for cardiovascular care.

Keywords:
AgingAortic stenosisCardiac risk assessmentCoronary artery diseaseElderlyFrailtyGeriatricHeart failureTranscatheter aortic valve replacement

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