Cardiac care for older adults. Time for a new paradigm.
Cardiac care for older adults. Time for a new paradigm.
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DOI：
10.1016/j.jacc.2011.02.014
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发表时间：
2011-05-03
影响因子：
24
通讯作者：
Wenger NK
中科院分区：
文献类型：
--
作者：
Forman DE;Rich MW;Alexander KP;Zieman S;Maurer MS;Najjar SS;Cleveland JC Jr;Krumholz HM;Wenger NK
近几十年来，无论是在美国还是在世界大部分地区，老年人的数量都出现了惊人的增长，这主要是由于公共卫生、营养和医疗保健的改善。2000年至2030年间，世界65岁及以上人口比例预计将从6.9%增加到12%(1)。在美国，随着婴儿潮一代步入老年，“老年”人口的增长速度甚至更快（据估计，在2000年至2030年期间，老年人口将从12.9%增长到20%）。此外，到2050年，美国85岁及以上的老年人群体预计将增加两倍。具有讽刺意味的是，老龄化也催化了心血管疾病（CVD）易感性增加的根本变化，使得CVD在迅速增长的老年人群中流行(3)。典型的美国心脏病患者已经是老年人，心脏问题的管理从根本上与高龄相关的虚弱和多种疾病联系在一起。
Recent decades have witnessed striking growth in the number of older adults both in the United States and throughout much of the world, largely due to improved public health, nutrition, and medical care. Between 2000 and 2030, the proportion of the world’s population age 65 years and older is expected to increase from 6.9% to 12%(1). In the United States, the “old age” demographic is accelerating even more rapidly (estimated to increase from 12.9% to 20% between 2000 and 2030) as baby boomers enter their senior years (2). Furthermore, by 2050, the subgroup of US seniors age 85 years and older is expected to triple. Ironically, aging also catalyzes fundamental changes that increase susceptibility to cardiovascular disease (CVD) such that CVD is endemic in the burgeoning senior population (3). Already, the prototypical US cardiology patient is an older adult, and management of cardiac issues is fundamentally linked to the frailties and multimorbidities associated with advanced age.