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[Cardiovascular prevention in old age]

Ursula Müller-Werdan1,2, Adrian Rosada3, Kristina Norman3,4

  • 1Medizinische Klinik für Geriatrie und Altersmedizin, Charité - Universitätsmedizin Berlin, Reinickendorfer Straße 21, 13347, Berlin, Deutschland. ursula.mueller-werdan@charite.de.

Zeitschrift Fur Gerontologie Und Geriatrie
|September 16, 2024
PubMed

Insights

Cardiovascular prevention offers significant potential for longer, healthier lives but remains underutilized. Addressing key risk factors like high blood pressure and cholesterol is crucial for preventing heart disease across all adult age groups.

Area of Science:

  • Cardiology
  • Preventive Medicine
  • Geriatrics

Context:

  • Cardiovascular diseases remain a leading cause of morbidity and mortality globally.
  • The full potential of cardiovascular prevention strategies is not yet realized.
  • Classical risk factors significantly contribute to cardiovascular disease incidence.

Purpose:

  • To highlight the underutilized potential of cardiovascular prevention.
  • To emphasize the importance of managing classical risk factors for cardiovascular health.
  • To discuss the applicability and assessment of cardiovascular risk in older adults.

Summary:

  • Five classical risk factors (body mass index, systolic blood pressure, non-high-density lipoprotein cholesterol, smoking, diabetes) account for over half of cardiovascular disease cases.
  • Cardiovascular prevention is effective in healthy individuals aged 70 and above, though risk factor associations may lessen with age.
  • The Systematic COronary Risk Evaluation-Older Persons (SCORE2-OP) tool aids in assessing cardiovascular risk and guiding treatment in this demographic.

Impact:

  • Promoting individualized cardiovascular prevention strategies can expand life span and health span.
  • Effective risk factor management, including diet and physical activity, is recommended through old age.
  • Implementing evidence-based guidelines can improve cardiovascular outcomes and public health.

Keywords:
AgingCardiovascular disease risk factorsGeroscienceNutritionPhysical activity

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