[Chronic ischaemic heart disease in the elderly]

Semergen. 2017 Mar;43(2):109-122. doi: 10.1016/j.semerg.2016.02.013. Epub 2016 Apr 9.
[Article in Spanish]

Abstract

It is the aim of this manuscript to take into account the peculiarities and specific characteristics of elderly patients with chronic ischaemic heart disease from a multidisciplinary perspective, with the participation of the Spanish Society of Cardiology (sections of Geriatric Cardiology and Ischaemic Heart Disease/Acute Cardiovascular Care), the Spanish Society of Internal Medicine, the Spanish Society of Primary Care Physicians and the Spanish Society of Geriatrics and Gerontology. This consensus document shows that in order to adequately address these elderly patients a comprehensive assessment is needed, which includes comorbidity, frailty, functional status, polypharmacy and drug interactions. We conclude that in most patients medical treatment is the best option and that this treatment must take into account the above factors and the biological changes associated with aging.

Keywords: Anciano; Cardiopatía isquémica; Comorbidity; Comorbilidad; Elderly; Ischemic heart disease.

MeSH terms

  • Aged
  • Aging
  • Chronic Disease
  • Drug Interactions
  • Humans
  • Myocardial Ischemia / physiopathology
  • Myocardial Ischemia / therapy*
  • Polypharmacy*
  • Practice Guidelines as Topic*
  • Spain