Geriatric Cardiology: Coming of Age

Overview

Journal JACC Adv

Specialty Cardiology & Vascular Diseases

Date 2023 Sep 14

PMID 37705890

Authors

Parag Goyal

Min Ji Kwak

Christina Al Malouf

Manish Kumar

Namit Rohant

Abdulla A Damluji

Quin E Denfeld

Kim K Bircher

Ashok Krishnaswami

Karen P Alexander

Daniel E Forman

Michael W Rich

Nanette K Wenger

James N Kirkpatrick

Jerome L Fleg

Affiliations

Soon will be listed here.

Abstract

Older adults with cardiovascular disease (CVD) contend with deficits across multiple domains of health due to age-related physiological changes and the impact of CVD. Multimorbidity, polypharmacy, cognitive changes, and diminished functional capacity, along with changes in the social environment, result in complexity that makes provision of CVD care to older adults challenging. In this review, we first describe the history of geriatric cardiology, an orientation that acknowledges the unique needs of older adults with CVD. Then, we introduce 5 essential principles for meeting the needs of older adults with CVD: 1) recognize and consider the potential impact of multicomplexity; 2) evaluate and integrate constructs of cognition into decision-making; 3) evaluate and integrate physical function into decision-making; 4) incorporate social environmental factors into management decisions; and 5) elicit patient priorities and health goals and align with care plan. Finally, we review future steps to maximize care provision to this growing population.

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