The Association of Myocardial Infarction History and Geriatric Syndromes in the Elderly: Data from the
Vadim Zakiev1, Natalya Vorobyeva1, Irina Malaya1
1Russian Gerontology Clinical Research Center, Ministry of Healthcare of the Russian Federation, Pirogov Russian National Research Medical University, 129226 Moscow, Russia.
Insights
History of myocardial infarction (MI) is linked to geriatric syndromes in older adults. Male sex and conditions like impaired daily activities, depression, and falls were independently associated with MI history.
Area of Science:
- Geriatric Medicine
- Cardiology
- Public Health
Background:
- Rising prevalence of chronic cardiovascular diseases (CVDs) in aging populations.
- CVD survivors often present with frailty and multiple comorbidities.
- Need for better understanding of geriatric conditions in older CVD patients.
Purpose of the Study:
- To estimate the association between myocardial infarction (MI) history and geriatric syndromes (GSs).
- To investigate the prevalence of GSs in elderly individuals with a history of MI.
Main Methods:
- Cross-sectional study (EVKALIPT) including 4295 participants aged 65+.
- Comprehensive geriatric assessment for all participants.
- MI history assessed via medical records.
Main Results:
- Prevalence of MI history was 12.6%.
- Univariate analysis indicated MI history increased odds of 12 GSs (OR 1.3-2.4).
- Multivariate analysis identified male sex and four GSs (ADL/IADL impairment, depression, falls) independently associated with MI history (OR 1.28-1.86).
Conclusions:
- A significant association exists between myocardial infarction history and geriatric syndromes in older adults.
- Specific geriatric syndromes and male sex are independently linked to MI history.
- Findings highlight the importance of assessing GSs in elderly MI patients.
Abstract:
Background/Objectives: In recent decades, the number of patients with chronic cardiovascular diseases (CVDs) has increased, and CVD survivors are more likely to be old and frail and to have multiple comorbidities. A better understanding of geriatric conditions and their prevalence would help improve the management of older patients with CVDs. The main objective of this study is to estimate the association of myocardial infarction (MI) history with geriatric syndromes (GSs) in people 65 years of age and older. Methods: The cross-sectional study EVKALIPT included patients who were 65 years of age and older. All patients underwent a comprehensive geriatric assessment. The presence of MI history was assessed by medical records. Results: A total of 4295 participants were included. The prevalence of MI history was 12.6%. According to univariate regression analysis, MI history was associated with an increase in the odds of 12 GSs by 1.3-2.4 times. Multivariate regression analysis showed that male sex and four GSs (impairment in basic and instrumental activities of daily living, depression, falls) were independently associated with a history of MI, with the odds ratio ranging from 1.28 to 1.86. Conclusions: This study showed the association between MI history and GSs.
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