What to Expect From the Evolving Field of Geriatric Cardiology

The population of older adults is expanding rapidly, and aging predisposes to cardiovascular disease. The principle of patient-centered care must respond to the preponderance of cardiac disease that now occurs in combination with the complexities of old age. Geriatric cardiology melds cardiovascular...

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Vydáno v:Journal of the American College of Cardiology Ročník 66; číslo 11; s. 1286 - 1299
Hlavní autoři: Bell, Susan P, Orr, Nicole M, Dodson, John A, Rich, Michael W, Wenger, Nanette K, Blum, Kay, Harold, John Gordon, Tinetti, Mary E, Maurer, Mathew S, Forman, Daniel E
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States 15.09.2015
Témata:
Aging - pathology
Cardiology - methods
Cardiology - trends
Cardiovascular Diseases - diagnosis
Cardiovascular Diseases - therapy
Coronary Disease - diagnosis
Coronary Disease - therapy
Geriatrics - methods
Geriatrics - trends
Humans
cardiovascular disease
geriatrics
training
aging
quality
ISSN:1558-3597
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Popis
Shrnutí:The population of older adults is expanding rapidly, and aging predisposes to cardiovascular disease. The principle of patient-centered care must respond to the preponderance of cardiac disease that now occurs in combination with the complexities of old age. Geriatric cardiology melds cardiovascular perspectives with multimorbidity, polypharmacy, frailty, cognitive decline, and other clinical, social, financial, and psychological dimensions of aging. Although some assume that a cardiologist may instinctively cultivate some of these skills over the course of a career, we assert that the volume and complexity of older cardiovascular patients in contemporary practice warrants a more direct approach to achieve suitable training and a more reliable process of care. We present a rationale and vision for geriatric cardiology as a melding of primary cardiovascular and geriatrics skills, thereby infusing cardiology practice with expanded proficiencies in diagnosis, risks, care coordination, communications, end-of-life, and other competences required to best manage older cardiovascular patients.
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ISSN:1558-3597
DOI:10.1016/j.jacc.2015.07.048