Geriatric Cardiology: Coming of Age.
cognitive impairment
frailty
geriatric cardiology
multimorbidity
patient-centered care
polypharmacy
Journal
JACC. Advances
ISSN: 2772-963X
Titre abrégé: JACC Adv
Pays: United States
ID NLM: 9918419284106676
Informations de publication
Date de publication:
Aug 2022
Aug 2022
Historique:
medline:
1
8
2022
pubmed:
1
8
2022
entrez:
14
9
2023
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 37705890
doi: 10.1016/j.jacadv.2022.100070
pmc: PMC10498100
mid: NIHMS1930191
pii:
doi:
Types de publication
Journal Article
Langues
eng
Subventions
Organisme : NHLBI NIH HHS
ID : K23 HL153771
Pays : United States
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