Cardiac Management in the Frail Elderly Patient and the Oldest Old

This book focuses specifically on the management of cardiovascular disease in elderly patients with particular frailties and in the oldest old. It is clearly explained how treatment in these patients differs from that in patients in their seventies who respond well to therapies and do not present frailties or organ failures. Although not young, the latter patients can be treated almost like any other patient, according to established guidelines. In contrast, the frail, compromised elderly and the oldest old require specific measures that target their needs, including with respect to underlying renal conditions. The book considers all those pathologies that have a high prevalence in the general population, explaining advanced treatment concepts and all aspects of assessment. Key clinical points are highlighted, and the text is supplemented with numerous informative figures and tables. The authors are respected experts, for the most part geriatric physicians, and the book is especiallyaddressed to cardiologists, who may lack the described targeted information and treatment tools.

Explains advanced treatment concepts in geriatric cardiology relevant to patients with particular frailties and the oldest old Focuses on diseases with a high prevalence in the general population Highlights key clinical points Includes numerous figures and tables

Autorentext
Andrea Ungar, MD, PhD, FESCDepartment of geriatrics and medicineCareggi Hospital and university of FlorenceFlorenceItaly
Niccolò MarchionniUniversity of Florence and CareggiDepartment of Clinical and ExperimeFlorenceItaly

Inhalt

1 Introduction. The specificity of geriatric cardiology.- 2 Epidemiology of heart disease in the elderly.- 3 Molecular mechanisms of cardiovascular aging.- 4 Frailty and heart disease.- 5 Evidence based medicine and evidence biased medicine in geriatric cardiology. From the trial to the real word.- 6 Polypharmacy.- 7 Syncope and Unexplained Falls in the elderly.- 8 Hypertension in the oldest old, beyond the guidelines.- 9 New challenges in aortic stenosis in the elderly: from epidemiology to TAVI.- 10 The aging kidney and cardiovascular disease.- 11 Risk assessment in cardiac and non-cardiac surgery in the older patient.- 12 Atrial fibrillation in the elderly.- 13 Cardiac devices in the elderly.- 14 Management of acute coronary syndromes in the elderly.- 15 Cardiac surgery in the oldest old.