What to Expect From the Evolving Field of Geriatric Cardiology

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY

卷:66

Article

Bell, Susan P.^1,2  Orr, Nicole M.^3,4  Dodson, John A.⁵  Rich, Michael W.⁶  Wenger, Nanette K.⁷  Blum, Kay⁸  Harold, John Gordon^9,10  Tinetti, Mary E.^11,12  Maurer, Mathew S.¹³  Forman, Daniel E.^14,15 

[1] Vanderbilt Univ, Sch Med, Dept Med, Div Cardiovasc Med, Nashville, TN 37212 USA

[2] Vanderbilt Univ, Sch Med, Div Geriatr Med, Ctr Qual Aging, Nashville, TN 37212 USA

[3] Tufts Med Ctr, Div Cardiol, Boston, MA USA

[4] Tufts Med Ctr, Ctr Cardiovasc, Boston, MA USA

[5] NYU, Sch Med, Dept Med, Leon H Charney Div Cardiol, New York, NY USA

[6] Washington Univ, Sch Med, Div Cardiol, St Louis, MO USA

[7] Emory Univ, Sch Med, Div Cardiol, Atlanta, GA 30322 USA

[8] Amer Coll Cardiol, Geriatr Cardiol Sect, Washington, DC USA

[9] Univ Calif Los Angeles, Cedars Sinai Heart Inst, Los Angeles, CA USA

[10] Univ Calif Los Angeles, David Geffen Sch Med, Los Angeles, CA 90095 USA

[11] Yale Univ, Sch Med, Dept Internal Med, New Haven, CT 06510 USA

[12] Yale Univ, Sch Med, Dept Publ Hlth & Epidemiol, New Haven, CT USA

[13] Columbia Univ, Dept Med, Med Ctr, Div Cardiol, New York, NY USA

[14] Univ Pittsburgh, Med Ctr, Dept Med, Geriatr Cardiol Sect, Pittsburgh, PA USA

[15] VA Pittsburgh Healthcare Syst, Res Educ & Clin Ctr, Pittsburgh, PA USA

关键词: aging;    cardiovascular disease;    geriatrics;    quality;    training;   

DOI  :  10.1016/j.jacc.2015.07.048

来源: Elsevier

【 摘 要 】

The population of older adults is expanding rapidly, and aging predisposes to cardiovascular disease. The principle of patient-centered care must respond to the preponderance of cardiac disease that now occurs in combination with the complexities of old age. Geriatric cardiology melds cardiovascular perspectives with multimorbidity, polypharmacy, frailty, cognitive decline, and other clinical, social, financial, and psychological dimensions of aging. Although some assume that a cardiologist may instinctively cultivate some of these skills over the course of a career, we assert that the volume and complexity of older cardiovascular patients in contemporary practice warrants a more direct approach to achieve suitable training and a more reliable process of care. We present a rationale and vision for geriatric cardiology as a melding of primary cardiovascular and geriatrics skills, thereby infusing cardiology practice with expanded proficiencies in diagnosis, risks, care coordination, communications, end-of-life, and other competences required to best manage older cardiovascular patients. (C) 2015 by the American College of Cardiology Foundation.

【 授权许可】

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