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The Prevention of Cardiovascular Disease in Older Adults

Patrick P Coll1,2, Vivyenne Roche3, Jaclyn S Olsen2

  • 1Department of Family Medicine, University of Connecticut Health Center, Farmington, Connecticut.

Journal of the American Geriatrics Society
|February 8, 2020
PubMed

Insights

Cardiovascular disease (CVD) prevention in older adults, particularly those over 75, is crucial. This review examines current data on preventing stroke, coronary artery disease, and peripheral artery disease in this age group.

Area of Science:

  • Geriatric Medicine
  • Cardiology
  • Preventive Medicine

Background:

  • Cardiovascular disease (CVD) is a leading cause of mortality and morbidity in the elderly population.
  • Older adults, especially those over 75, are often underrepresented in clinical trials for CVD prevention and treatment.
  • Geriatric clinicians face challenges in applying existing data to older patients due to potential inapplicability.

Purpose of the Study:

  • To review existing data on the prevention of common cardiovascular diseases in older adults.
  • To provide specific guidance on CVD prevention for individuals aged 75 years and older.

Main Methods:

  • This is a narrative review of existing scientific literature.
  • The review focuses on the prevention of stroke, coronary artery disease, and peripheral artery disease.
  • Emphasis is placed on evidence relevant to the oldest old (75+ years).

Main Results:

  • The review synthesizes current knowledge on CVD prevention strategies applicable to older populations.
  • It highlights the specific challenges and considerations for preventing stroke, coronary artery disease, and peripheral artery disease in adults over 75.
  • Identifies gaps in evidence and the need for tailored approaches.

Conclusions:

  • Effective cardiovascular disease prevention in older adults requires careful consideration of age-specific factors.
  • Further research is needed to optimize CVD prevention strategies for the growing population of individuals aged 75 and older.
  • This review offers a summary of current best practices for geriatric clinicians.

Keywords:
cardiovascular diseaseolderprevention

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