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Frailty and Cardiovascular Mortality: A Narrative Review
Darae Ko1,2, John A Bostrom2, Saadia Qazi3,4,5
1Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA, USA.
Current Cardiology Reports
|February 16, 2023
Summary
Frailty is common in older adults with cardiovascular disease and predicts death. Identifying frailty can personalize cardiovascular care and improve patient outcomes.
Area of Science:
- Gerontology
- Cardiology
- Public Health
Background:
- Frailty is a significant health issue in aging populations.
- Cardiovascular disease (CVD) disproportionately affects older adults.
- Frailty is increasingly recognized as a critical factor in CVD outcomes.
Purpose of the Study:
- To review the epidemiology of frailty in cardiovascular disease.
- To examine the association between frailty and cardiovascular mortality.
- To discuss the clinical applications of frailty assessment in cardiovascular care for older adults.
Main Methods:
- This is a narrative review.
- Literature search on frailty, cardiovascular disease, and mortality.
- Synthesis of existing evidence on frailty epidemiology and clinical utility.
Main Results:
- Frailty is highly prevalent in older adults with cardiovascular disease.
- Frailty is an independent predictor of cardiovascular mortality.
- Frailty assessment can inform prognostication and treatment decisions.
Conclusions:
- Frailty is a key consideration in the cardiovascular care of older adults.
- Individualized treatment strategies incorporating frailty assessment are beneficial.
- Standardization of frailty assessment in clinical practice and research is needed.
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