A Geriatric Approach to Percutaneous Coronary Interventions in Older Adults, Part II: A
acute coronary syndrome
cardiac catheterization
cardiovascular disease
geriatric assessment
multimorbidity
older adults
percutaneous coronary intervention
polypharmacy
Journal
JACC. Advances
ISSN: 2772-963X
Titre abrégé: JACC Adv
Pays: United States
ID NLM: 9918419284106676
Informations de publication
Date de publication:
Jul 2023
Jul 2023
Historique:
medline:
14
8
2023
pubmed:
14
8
2023
entrez:
14
8
2023
Statut:
ppublish
Résumé
We review a comprehensive risk assessment approach for percutaneous coronary interventions in older adults and highlight the relevance of geriatric syndromes within that broader perspective to optimize patient-centered outcomes in interventional cardiology practice. Reflecting the influence of geriatric principles in older adults undergoing percutaneous coronary interventions, we propose a "geriatric" heart team to incorporate the expertise of geriatric specialists in addition to the traditional heart team members, facilitate uptake of the geriatric risk assessment into the preprocedural risk assessment, and address ways to mitigate these geriatric risks. We also address goals of care in older adults, highlighting common priorities that can impact shared decision making among older patients, as well as frequently encountered pharmacotherapeutic considerations in the older adult population. Finally, we clarify gaps in current knowledge and describe crucial areas for future investigation.
Identifiants
pubmed: 37575202
doi: 10.1016/j.jacadv.2023.100421
pmc: PMC10419335
mid: NIHMS1921412
pii:
doi:
Types de publication
Journal Article
Langues
eng
Subventions
Organisme : NHLBI NIH HHS
ID : K23 HL153771
Pays : United States
Organisme : NIA NIH HHS
ID : K76 AG064426
Pays : United States
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