Stable Coronary Artery Disease in the Age of Geriatric Cardiology.
Stable Coronary Artery Disease in the Age of Geriatric Cardiology.
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老年心脏病学时代的稳定冠状动脉疾病。
DOI：
10.1016/j.jacc.2023.03.378
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发表时间：
2023
影响因子：
24
通讯作者：
Nanna,MichaelG
中科院分区：
文献类型：
--
作者：
Goyal,Parag;Nanna,MichaelG
考虑到影响诊断方法和治疗的安全性和有效性的独特脆弱性、不同的卫生保健需求以及患者优先事项的异质性，将年轻成人人群产生的证据外推到老年人群充满了局限性和危险性。这凸显了老年心脏病学的必要性，这是近年来“成熟”的心脏病学的一个分支学科。老年心脏病学专注于使心血管护理适应老年人的独特需求，并提供了一个框架，在高龄和相关的老年综合征(如虚弱、认知障碍和多药联用等)的背景下导航心血管疾病的复杂性。1随着人口老龄化，临床医生越来越多地面临如何管理老年人冠状动脉疾病(CAD)的决策。重要的是，老年人在动脉粥样硬化负担、程序和技术复杂性以及程序风险方面存在公认的差异。因此，在老年人中，手术的成功率和并发症风险增加是不同的。
The extrapolation of evidence generated in younger adult populations to the geriatric population is fraught with limitations and hazards, given unique vulnerabilities that impact the safety and efficacy of diagnostic approaches and treatments, distinct health care needs, and heterogeneity in patient priorities. This underlies the need for geriatric cardiology, a subdiscipline of cardiology that has “come of age” in recent years. Geriatric cardiology is focused on adapting cardiovascular care to the unique needs of older adults, and provides a framework for navigating the complexity of cardiovascular diseases within the context of advanced age and associated geriatric syndromes such as frailty, cognitive impairment, and polypharmacy, among others. 1As the population ages, clinicians are increasingly faced with making decisions about how to manage coronary artery disease (CAD) in older adults. Importantly, there are well-established differences in atherosclerotic burden, procedural and technical complexity, and procedural risk among older adults. 2 Consequently, there is variability in procedural success and increased risk of complications among older