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. 2018 Jul;66(7):1415-1419.
doi: 10.1111/jgs.15356. Epub 2018 Mar 15.

Improving Care Using a Bidirectional Geriatric Cardiology Consultative Conference

Eleonore V Grant  1 , Adam H Skolnick  1 , Joshua Chodosh  2 , Michael H Perskin  2 , Nicole M Orr  3 , Caroline Blaum  2   4 , John A Dodson  1   4
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Improving Care Using a Bidirectional Geriatric Cardiology Consultative Conference

Eleonore V Grant et al. J Am Geriatr Soc. 2018 Jul.

Abstract

More than 13 million persons in the United States aged 65 and older have cardiovascular disease (CVD), and this population is expected to increase exponentially over the next several decades. In the absence of clinical studies that would inform how best to manage this population, there is an urgent need for collaborative, thoughtful approaches to their care. Although cardiologists are traditionally regarded as leaders in the care of older adults with CVD, these individuals have multiple comorbidities, physiological differences, and distinct goals of care than younger patients that require a specialized geriatric lens. Thus, collaboration is needed between geriatricians, cardiologists, and other specialists to address the unique needs of this growing population. Accordingly, clinicians at New York University Langone Health and School of Medicine established a monthly Geriatric Cardiology Conference to foster an integrative approach to the care of older adults with CVD by uniting specialists across disciplines to collaborate on treatment strategies. At each conference, an active case is discussed and analyzed in detail, and a consensus is reached among participants regarding optimal treatment strategies. The conference attracts faculty and trainees at multiple levels from geriatrics, cardiology, and cardiothoracic surgery. The model may serve as a paradigm for other institutions moving towards geriatric-informed care of older adults with CVD.

Keywords: cardiology; geriatrics; innovation; multidisciplinary.

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Conflict of interest statement

Conflict of Interest: All authors have no conflicts.

Figures

Figure 1
Figure 1
Factors Influencing Management Recommendations at NYU Langone Health Geriatric Cardiology Conference
See this image and copyright information in PMC

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