如何改善老年心血管疾病患者的临床结果并降低心血管风险:弥合证据差距

IF 3.2 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS European Cardiology Review Pub Date : 2023-01-01 DOI:10.15420/ecr.2022.59
Mauricio Wajngarten
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引用次数: 0

摘要

老年人口受心血管疾病的影响很大。因此,通过老年心脏病学的传播使心脏病专家“老年化”变得至关重要。在老年心脏病学的早期,人们讨论过这是否仅仅是心脏病学“做得好”。40年后的今天,情况似乎确实如此。心血管疾病患者通常有几种慢性疾病。临床实践指南通常针对单一病症,不能为多病患者提供足够的指导。关于这些患者,存在一些证据缺口。医生和护理团队成员需要对患者有一个多维度的了解,以更好地促进护理的优化。重要的是要明白,老龄化是不可避免的、异质性的,而且会增加脆弱性。护理人员必须知道如何以多领域实用的方式评估老年患者,以及如何识别可能对治疗产生影响的因素。
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How to Improve Clinical Outcomes and Reduce Cardiovascular Risk in Older People with Cardiovascular Disease: Bridging Evidence Gaps.

The geriatric population is greatly impacted by cardiovascular disease. Thus, it becomes essential to 'geriatricise' the cardiologist through the dissemination of geriatric cardiology. In the early days of geriatric cardiology, it was discussed whether it was simply cardiology 'well done'. Today, 40 years later, it seems clear that this is indeed the case. Patients with cardiovascular disease usually have several chronic conditions. Clinical practice guidelines often address a single condition and do not provide sufficient guidance for patients with multimorbidity. There are several evidence gaps regarding these patients. Physicians and members ofthe care team need a multidimensional understanding ofthe patient to better promote the optimisation of care. It is important to understand that ageing is inevitable, heterogeneous and increases vulnerability. Caregivers must know how to assess elderly patients in a multidomain practical way and how to recognise the factors that may have implications on treatment.

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来源期刊
European Cardiology Review
European Cardiology Review CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
5.40
自引率
0.00%
发文量
23
审稿时长
12 weeks
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