老年人的慢性冠状动脉疾病
Alexander P Ambrosini1, Emily S Fishman1, Abdulla A Damluji2
1Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
慢性冠状动脉疾病 (CCD) 影响更多的老年人,但他们在临床试验中代表性不足. 本综述侧重于老年人的CCD,强调以患者为中心的护理,以更好的治疗决策.
科学领域:
- 老年医学 老年医学
- 心脏病学 心脏病学
- 临床研究 临床研究
背景情况:
- 慢性冠状动脉疾病 (CCD) 的患病率在75岁及以上的成年人中正在增加.
- 慢性疾病对老年人群的发病率,死亡率和残疾有很大影响.
- 在CCD的临床试验中,老年人往往代表性不足,这限制了研究结果的适用性.
研究的目的:
- 审查老年人中CCD独特的表现.
- 检查在这个人口群体中针对CCD的指南导向医疗和侵入性疗法.
- 倡导以患者为中心的方法在治疗决策中为老年患者提供CCD.
主要方法:
- 对老年人慢性冠状动脉疾病研究的文献综述.
- 对当前指南导向的医疗和侵入性疗法的分析.
- 综合证据以支持以患者为中心的治疗方法.
主要成果:
- 老年人呈现的CCD不同于年轻人群.
- 现有的治疗指南可能需要适应老年患者.
- 个性化,以患者为中心的策略对于优化护理至关重要.
结论:
- 解决老年人中CCD发病率上升的问题需要量身定制的方法.
- 临床实践应将老年病方面的考虑纳入CCD管理中.
- 以患者为中心的护理对于老年人中CCD的有效治疗至关重要,特别是那些患有多种并发病的人.
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