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 ℓ́ℓoldest oldℓ́ℓ. 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 especially addressed to cardiologists, who may lack the described targeted information and treatment tools This book focuses specifically on the management of cardiovascular disease in elderly patients with particular frailties and in the ĺloldest oldĺl. 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 especially addressed to cardiologists, who may lack the described targeted information and treatment tools Front Matter....Pages i-x Introduction: The Specificity of Geriatric Cardiology....Pages 1-8 Cardiovascular Disease in the Oldest Old: A Geriatric Epidemiology Perspective....Pages 9-22 Molecular Mechanisms of Cardiovascular Aging....Pages 23-40 Frailty and Heart Disease....Pages 41-58 Evidence-Based Versus Evidence-Biased Medicine in Geriatric Cardiology: From Trials to Real World....Pages 59-62 Polypharmacy....Pages 63-70 Syncope and Unexplained Falls in the Elderly....Pages 71-86 Hypertension in the Oldest Old, Beyond Guidelines....Pages 87-103 New Challenges in Aortic Stenosis in the Elderly: From Epidemiology to TAVI....Pages 105-111 Aging Kidney: Vascular Characteristics and Assessment....Pages 113-127 Risk Assessment in Cardiac and Noncardiac Surgery in Older Patients....Pages 129-147 Atrial Fibrillation in the Elderly....Pages 149-163 Treatment of Acute Coronary Syndromes in Elderly Patients....Pages 165-177