Assessing Risks and Benefits of Invasive Cardiac Procedures in Patients with Advanced Multimorbidity

作者：Orkaby Ariela R; Forman Daniel E^*

来源：Clinics in Geriatric Medicine, 2016, 32(2): 359-+.

DOI：10.1016/j.cger.2016.01.004

• Geriatrics
• Cardiology
• Multimorbidity
• Preoperative assessment

Age-related cardiovascular disease in older adults is more likely to occur in combination with other age-related diseases, with mounting interactive complexity as multiple morbidities accumulate. Although invasive cardiac procedures are frequently recommended for cardiovascular disease, their value is less certain in the context of age-related intricacies of care. Tools for risk assessment before invasive procedures are insensitive to risks corresponding to the unique challenges of older adults. Recognizing multimorbidity and other age-related risks provide opportunities to intervene and moderate dangers. By refocusing risk assessment in terms of patient-centered goals, the fundamental utility of invasive cardiac procedures may be reconsidered and alternative therapies prioritized.

• 出版日期2016-5