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Chronological vs Biological Age in Interventional Cardiology: A Comprehensive Approach to Care for Older Adults:
Abdulla A Damluji1, Michael G Nanna2, Jennifer Rymer3
1Inova Center of Outcomes Research, Fairfax, Virginia, USA; Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
JACC. Cardiovascular Interventions
|April 10, 2024
Summary
As the global population ages, interventional cardiology faces increasing complexity in treating older adults. This review highlights age-related risks and strategies to optimize cardiovascular care for elderly patients undergoing invasive procedures.
Area of Science:
- Cardiology
- Geriatrics
- Interventional Cardiology
Background:
- Aging populations globally increase the demand for complex cardiovascular care in older adults.
- Interventional cardiologists must navigate age-associated risks impacting procedural decisions and outcomes.
- Transcatheter interventions for structural heart disease in the elderly highlight the importance of age-related considerations.
Purpose of the Study:
- To provide a comprehensive overview of aging in relation to cardiovascular interventions.
- To emphasize the distinction between chronological and biological aging in patient care.
- To discuss strategies for improving health outcomes in older adults undergoing invasive cardiovascular procedures.
Main Methods:
- State-of-the-art review of current literature on aging and interventional cardiology.
- Analysis of age-related risks, decision-making factors, and procedural outcomes.
- Discussion of gerotherapeutics, biological aging assessment, and patient-centered outcomes.
Main Results:
- Aging significantly influences eligibility, decision-making, adverse events, and long-term management in interventional cardiology.
- Understanding biological aging is crucial for tailoring cardiovascular interventions in older adults.
- Technological advancements and gerotherapeutics offer potential to improve care.
Conclusions:
- Interventional cardiology must adapt to the complexities of an aging population.
- Integrating biological aging assessments and patient-centered outcomes is vital for optimizing care.
- Future directions include advancing gerotherapeutics and technological innovations for elderly cardiovascular patients.
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