多重用药是心脏病学中的主要关注点。

[Polypharmacy is of major concern in cardiology].

作者信息

Dovjak Peter, Sommeregger Ulrike, Otto Ronald, Roller Regina E, Böhmdorfer Birgit, Iglseder Bernhard, Benvenuti-Falger Ursula, Lechleitner Monika, Gosch Markus

机构信息

Abteilung für Akutgeriatrie/Remobilisation, Landeskrankenhaus Gmunden, Gmunden, Austria.

Abteilung für Akutgeriatrie, Krankenhaus Hietzing mit Neurologischem Zentrum Rosenhügel, Wien, Austria.

出版信息

Wien Med Wochenschr. 2010 Jun;160(11-12):264-269. doi: 10.1007/s10354-010-0784-3.

DOI:10.1007/s10354-010-0784-3

PMID:20640922

Abstract

Quality improvement in cardiology over the past decade focused on management of acute coronary syndrome with invasive and innovative medical therapies, optimizing treatment of congestive heart failure and the development of repair procedures in valvular heart disease. On the other hand cardiologist and the attendant physicians are confronted with changes in the characteristics of patients in the light of demographic facts. Comorbidity and polypharmacy raise the need for clear concepts. Therapeutic and diagnostic tools of geriatric medicine may help in that context.

摘要

在过去十年中，心脏病学领域的质量改进主要集中在采用侵入性和创新性药物疗法管理急性冠状动脉综合征、优化充血性心力衰竭的治疗以及开发心脏瓣膜病的修复程序。另一方面，鉴于人口统计学事实，心脏病专家和相关医生面临着患者特征的变化。合并症和多种药物治疗增加了对清晰概念的需求。在这种情况下，老年医学的治疗和诊断工具可能会有所帮助。