Cardiac Management in the Frail Elderly Patient and the Oldest Old

ISBN-13: 9783319828336 / Angielski / Miękka / 2018 / 177 str.

Andrea Ungar; Niccolo Marchionni

Recenzje

"This is a good collection of evidence-based practices in geriatric cardiology that provides guidance for appropriate decision making in the treatment of cardiovascular comorbidities in frail elderly geriatric patients based on the experience of professional geriatricians and cardiologists. ... The audience is internists treating patients with common cardiovascular conditions, but it also would be useful for recent cardiology graduates." (Ravi Prasad Avati Nanjundappa, Doody's Book Reviews, July, 2017)

Spis treści

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.

O autorze

Andrea Ungar, MD, PhD, FESC

Department of geriatrics and medicine

Careggi Hospital and university of Florence

Florence

Italy

Niccolò Marchionni

University of Florence and Careggi

Department of Clinical and Experime

Florence

Italy

Blurb

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 especially addressed to cardiologists, who may lack the described targeted information and treatment tools.