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. 2022 May 28;19(5):377-392.
doi: 10.11909/j.issn.1671-5411.2022.05.004.

Cardiovascular prevention in elderly patients

Clara Bonanad  1   2 , Rosa Fernández-Olmo  3 , Sergio García-Blas  1   2 , Jose Antonio Alarcon  4 , Pablo Díez-Villanueva  5 , Carmen Rus Mansilla  6 , Héctor García-Pardo  7 , Pablo Toledo  8 , Ana Ayesta  9 , Eva Pereira  10 , Antoni Carol  11 , Almudena Castro-Conde  12 , Carmen de Pablo-Zarzoso  13 , Manuel Martínez-Sellés  14 , Vicente Arrarte  15 , Raquel Campuzano  16 , Albert Ariza-Solé  17
Affiliations

Cardiovascular prevention in elderly patients

Clara Bonanad et al. J Geriatr Cardiol. .

Abstract

In recent decades, life expectancy has been increasing significantly. In this scenario, health interventions are necessary to improve prognosis and quality of life of elderly with cardiovascular risk factors and cardiovascular disease. However, the number of elderly patients included in clinical trials is low, thus current clinical practice guidelines do not include specific recommendations. This document aims to review prevention recommendations focused in patients ≥ 75 years with high or very high cardiovascular risk, regarding objectives, medical treatment options and also including physical exercise and their inclusion in cardiac rehabilitation programs. Also, we will show why geriatric syndromes such as frailty, dependence, cognitive impairment, and nutritional status, as well as comorbidities, ought to be considered in this population regarding their important prognostic impact.

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Figures

Figure 1
Figure 1
Identifying and assessing elderly patients in cardiovascular prevention.
Figure 2
Figure 2
LDL-C targets for elderly patients.
Figure 3
Figure 3
FRAIL scale (Fatigue, Resistance, Aerobic, Illnesses, Weight loss) (adapted from Morley, et al.).[72]
Figure 4
Figure 4
Different possibilities for telemedicine for secondary prevention among the elderly population.
See this image and copyright information in PMC

References

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