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Editorial
. 2023 May 2;81(17):1710-1713.
doi: 10.1016/j.jacc.2023.03.378.

Stable Coronary Artery Disease in the Age of Geriatric Cardiology

Parag Goyal  1 , Michael G Nanna  2
Affiliations
Editorial

Stable Coronary Artery Disease in the Age of Geriatric Cardiology

Parag Goyal et al. J Am Coll Cardiol. .
No abstract available

Keywords: aging; coronary artery disease; geriatrics; revascularization.

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Conflict of interest statement

Funding Support and Author Disclosures Dr Goyal is supported by American Heart Association grant 20CDA35310455 and National Institute on Aging grant K76AG064428; and has received consulting fees from Sensorum Health. Dr Nanna was supported by the American College of Cardiology Foundation, the George F. and Ann Harris Bellows Foundation, the Patient-Centered Outcomes Research Institute, the Yale Claude D. Pepper Older Americans Independence Center (P30AG021342), and the National Institute on Aging/National Institutes of Health from R03AG074067 (GEMSSTAR award).

Figures

FIGURE 1
FIGURE 1. Approach for Decision Making in Older Adults With Stable Coronary Artery Disease
The “Consider, Listen, Decide” framework recommends that clinicians consider the clinical context of the individual patient, listen to the patient’s goals of care and priorities, and decide on the treatment approach that best aligns with the patient’s health goals. Potential strategies to facilitate these steps are shown. GDMT = guideline-directed medical therapy; PPC = Patient Priorities Care; QoL = quality of life; Revasc = revascularization.
See this image and copyright information in PMC

Comment on

  • Health Status and Clinical Outcomes in Older Adults With Chronic Coronary Disease: The ISCHEMIA Trial.
    Nguyen DD, Spertus JA, Alexander KP, Newman JD, Dodson JA, Jones PG, Stevens SR, O'Brien SM, Gamma R, Perna GP, Garg P, Vitola JV, Chow BJW, Vertes A, White HD, Smanio PEP, Senior R, Held C, Li J, Boden WE, Mark DB, Reynolds HR, Bangalore S, Chan PS, Stone GW, Arnold SV, Maron DJ, Hochman JS; ISCHEMIA Research Group. Nguyen DD, et al. J Am Coll Cardiol. 2023 May 2;81(17):1697-1709. doi: 10.1016/j.jacc.2023.02.048. J Am Coll Cardiol. 2023. PMID: 37100486 Free PMC article.

References

    1. Goyal P, Kwak MJ, Malouf CA, et al. Geriatric cardiology: coming of age. J Am Coll Cardiol Adv. 2022;1:100070. - PMC - PubMed
    1. Kumar S, McDaniel M, Samady H, Forouzandeh F. Contemporary revascularization dilemmas in older adults. J Am Heart Assoc. 2020;9:e014477. - PMC - PubMed
    1. Nanna MG, Chen ST, Nelson AJ, Navar AM, Peterson ED. Representation of older adults in cardiovascular disease trials since the inclusion across the lifespan policy. JAMA Intern Med. 2020;180:1531–1533. - PMC - PubMed
    1. Nanna MG, Wang SY, Damluji AA. Management of stable angina in the older adult population. Circ Cardiovasc Interv. 2023;16:e012438. 10.1161/CIRCINTERVENTIONS.122.012438 - DOI - PMC - PubMed
    1. Nguyen DD, Spertus JA, Alexander KP, et al. Health status and clinical outcomes in older adults with chronic coronary disease: THE ISCHEMIA trial. J Am Coll Cardiol. 2023;17:1697–1709. - PMC - PubMed

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