Tailoring Assessments and Prescription in Cardiac Rehabilitation for Older Adults: The Relevance of Geriatric Domains

Clin Geriatr Med. 2019 Nov;35(4):423-443. doi: 10.1016/j.cger.2019.07.013. Epub 2019 Jul 23.

Abstract

Older adults have distinctive health challenges that are relevant to the prevention and treatment of cardiovascular diseases and are potentially modifiable by cardiac rehabilitation. Cardiac rehabilitation in older adults provides opportunity to assess sarcopenia, obesity, osteoporosis, frailty, falls risk, arthritis, cognition, special senses, self-efficacy, depression, social support, polypharmacy, and nutritional adequacy. Therefore, broadening standard assessments to include these domains can help detect modifiable vulnerabilities and inform therapeutic priorities.

Keywords: Cognitive impairment; Depression; Mobility impairment; Polypharmacy; Resistance training; Sarcopenia.

Publication types

  • Review

MeSH terms

  • Accidental Falls / statistics & numerical data*
  • Aged
  • Aged, 80 and over
  • Cardiac Rehabilitation / statistics & numerical data*
  • Cognitive Dysfunction / epidemiology*
  • Comorbidity
  • Depression / epidemiology*
  • Drug Prescriptions / statistics & numerical data
  • Female
  • Frail Elderly
  • Geriatric Assessment / methods*
  • Humans
  • Male
  • Polypharmacy
  • Quality of Life*
  • Resistance Training / methods
  • Risk Assessment
  • Treatment Outcome