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Updated: Jul 1, 2025

Pulse Wave Velocity Testing in the Baltimore Longitudinal Study of Aging
Published on: February 7, 2014
Cardiovascular Disease in the Older Adult: Where Are We 4 Decades Later?
Farshad Forouzandeh1, Karen Alexander2, Daniel Forman3
1University Hospitals Harrington Heart & Vascular Institute, Case Western Reserve University School of Medicine, Cleveland, OH.
Insights
Geriatric cardiology has evolved significantly, addressing the growing impact of cardiovascular disease (CVD) in older adults. This field integrates geriatrics and cardiology, focusing on research, diagnosis, and treatment for elderly patients.
Area of Science:
- Cardiovascular Medicine
- Geriatrics
- Geriatric Cardiology
Background:
- The 1986 Bethesda Conference highlighted the impact of an aging population on cardiovascular disease (CVD).
- Older adults now represent a substantial portion of the CVD population.
- Geriatric cardiology has emerged as a distinct and vital field.
Purpose of the Study:
- To provide an update on the intersection of CVD and geriatrics.
- To review advances in the diagnosis and treatment of CVD in older adults.
- To preview future research directions in geriatric cardiology.
Main Methods:
- Focused review of current literature and research.
- Synthesis of basic science and clinical practice findings.
- Analysis of diagnostic and therapeutic advancements.
Main Results:
- Significant research growth in CVD affecting older adults.
- Establishment of geriatric cardiology as a specialized field.
- Identification of key advances in managing elderly CVD patients.
Conclusions:
- Geriatric cardiology is a rapidly evolving field.
- Continued research is crucial for optimizing CVD care in the elderly.
- Interdisciplinary collaboration is essential for future progress.
Abstract:
The 1986 Bethesda Conference on Cardiovascular Disease (CVD) in the Elderly, co-chaired by Drs. Nanette Wenger, Frank Marcus, and Robert O'Rourke, delineated the anticipated social, political, ethical, economic and technological impact of an aging population on the incidence, prevalence, and management of CVD in the US and worldwide. In the ensuing 4 decades, older patients have come to comprise an increasingly large proportion of the CVD population, and there has been an explosion of research in all aspects of CVD affecting older adults. Correspondingly, Geriatric Cardiology is now an established field within cardiovascular medicine. In this communication, we provide a focused update on intersections between CVD and geriatrics from basic science to clinical practice, a review of major advances in diagnosis and treatment of older adults with CVD, and a preview of future research directions in the still evolving field of geriatric cardiology.
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