Assessment and Management of Atrial Fibrillation in Older Adults with Frailty

Andrea Nathalie Rosas Diaz; Aaron L Troy; Vladimir Kaplinskiy; Abiah Pritchard; Rati Vani; Darae Ko; Ariela R Orkaby

doi:10.3390/geriatrics9020050

Assessment and Management of Atrial Fibrillation in Older Adults with Frailty

Geriatrics (Basel). 2024 Apr 15;9(2):50. doi: 10.3390/geriatrics9020050.

Authors

Andrea Nathalie Rosas Diaz¹, Aaron L Troy¹, Vladimir Kaplinskiy¹, Abiah Pritchard¹, Rati Vani¹, Darae Ko^{2

3}, Ariela R Orkaby^{4

5}

Affiliations

¹ Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.
² Section of Cardiovascular Medicine, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, MA 02118, USA.
³ Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Harvard Medical School, 1200 Center Street, Boston, MA 02131, USA.
⁴ New England GRECC (Geriatric Research, Education and Clinical Center), VA Boston Healthcare System, Boston, MA 02130, USA.
⁵ Division of Aging, Brigham & Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.

Abstract

Atrial fibrillation (AF) is a major driver of morbidity and mortality among older adults with frailty. Moreover, frailty is highly prevalent in older adults with AF. Understanding and addressing the needs of frail older adults with AF is imperative to guide clinicians caring for older adults. In this review, we summarize current evidence to support the assessment and management of older adults with AF and frailty, incorporating numerous recent landmark trials and studies in the context of the 2023 US AF guideline.

Keywords: atrial fibrillation; cardiovascular disease; frailty.

Publication types

Review

Abstract

Publication types

Grants and funding