Assessing Risks and Benefits of Invasive Cardiac Procedures in Patients with Advanced Multimorbidity

• Autores: Ariela R. Orkaby, Daniel E. Forman
• Localización: Clinics in geriatric medicine, ISSN 0749-0690, Vol. 32, Nº. 2, 2016, págs. 359-371
• Idioma: inglés
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• Resumen

  • Age-related cardiovascular disease in older adults is more likely to occur in combination with other age-related diseases, with mounting interactive complexity as multiple morbidities accumulate. Although invasive cardiac procedures are frequently recommended for cardiovascular disease, their value is less certain in the context of age-related intricacies of care. Tools for risk assessment before invasive procedures are insensitive to risks corresponding to the unique challenges of older adults. Recognizing multimorbidity and other age-related risks provides opportunities to intervene and moderate dangers. By refocusing risk assessment in terms of patient-centered goals, the fundamental utility of invasive cardiac procedures may be reconsidered and alternative therapies prioritized.