一个全面的老年人检查和虚弱的评估在老年患者严重的大动脉狭窄症
Enrico Brunetti1,2, Fabiana Lucà3, Roberto Presta1
1Geriatric Unit, Department of Medical Sciences, University of Turin, Hospital Città della Salute e della Scienza di Torino, 10126 Turin, Italy.
Journal of clinical medicine
|July 27, 2024
概括
超导管大动脉置换 (TAVR) 正在为患有大动脉狭窄症 (AS) 的老年患者发展. 对于更好的风险分层和患者福祉而言,全面的老年医疗评估至关重要.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 老年学是指老年学的学科.
背景情况:
- 大动脉狭窄 (AS) 是一种重要的心血管和老年疾病.
- 透气管大动脉置换 (TAVR) 最初是针对高风险的老年患者.
- 仅仅从时间上来看,年龄对于老年AS患者的风险分层是不够的.
研究的目的:
- 审查老年人群中AS的诊断和整体管理.
- 为了强调需要精细的患者分层超越时间表年龄.
- 促进一个多学科的方法,以优化TAVR的结果.
主要方法:
- 关于老年人AS和TAVR的当前文献的综述.
- 讨论TAVR候选人的老年脆弱性和脆弱性.
- 重点是全面的老年医疗评估,包括身体和认知评估.
主要成果:
- 由于TAVR技术的进步,需要提高患者的选择能力.
- 老年因素显著影响心血管和非心血管风险.
- 为了评估TAVR候选人,一个多学科的框架是必不可少的.
结论:
- 在老年患者的TAVR之前,全面的老年医学评估至关重要.
- 整合脆弱性和其他老年评估可以改善风险分层.
- 一个整体的,多学科的方法优化了患者的福祉和结果.
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