Uchmanowicz Izabella, Lisiak Magdalena, Wontor Radosław, Łoboz-Rudnicka Maria, Jankowska-Polańska Beata, Łoboz-Grudzień Krystyna, Jaarsma Tiny
Department of Clinical Nursing, Wroclaw Medical University, Poland
Department of Clinical Nursing, Wroclaw Medical University, Poland.
Eur J Cardiovasc Nurs. 2015 Aug;14(4):303-9. doi: 10.1177/1474515114568059. Epub 2015 Jan 16.
Frailty Syndrome is one of the key health problems in geriatrics, strongly affecting poor prognosis. There is a growing interest in the relevance of this syndrome in cardiovascular disease. The diagnosis of Frailty Syndrome in the elderly cardiac population is essential for an accurate risk stratification and for making therapeutic decisions. Most risk assessment systems used in cardiology are based on chronological age, which does not always reflect the biological age of a patient, therefore making an inadequate risk estimation. This paper discusses the definitions of Frailty Syndrome and research tools used to identify it. We specifically address the role of Frailty Syndrome in cardiovascular disease and the diagnostic and therapeutic difficulties in patients with Frailty Syndrome, emphasizing the role of the identification of Frailty Syndrome in making therapeutic decisions and the stratification of cardiovascular risk in patients with cardiologic conditions.
衰弱综合征是老年医学中的关键健康问题之一，严重影响预后。人们对该综合征在心血管疾病中的相关性兴趣日益浓厚。在老年心脏人群中诊断衰弱综合征对于准确的风险分层和做出治疗决策至关重要。心脏病学中使用的大多数风险评估系统基于实际年龄，这并不总能反映患者的生物学年龄，因此会导致风险估计不足。本文讨论了衰弱综合征的定义以及用于识别它的研究工具。我们特别探讨了衰弱综合征在心血管疾病中的作用以及衰弱综合征患者的诊断和治疗困难，强调识别衰弱综合征在做出治疗决策和对心脏病患者进行心血管风险分层中的作用。
