Martínez-Sellés Manuel, Gómez Huelgas Ricardo, Abu-Assi Emad, Calderón Alberto, Vidán María Teresa
Sociedad Española de Cardiología (SEC), Sección de Cardiología Geriátrica, Servicio de Cardiología, Hospital General Universitario Gregorio Marañón, Universidad Europea y Universidad Complutense, Madrid, España.
Sociedad Española de Medicina Interna (SEMI), Departamento de Medicina Interna, Hospital Universitario Regional de Málaga, Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud (FIMABIS), Málaga, España.
Rev Esp Geriatr Gerontol. 2016 May-Jun;51(3):170-9. doi: 10.1016/j.regg.2016.01.012. Epub 2016 Apr 18.
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.
本手稿旨在从多学科角度考虑老年慢性缺血性心脏病患者的特殊性和具体特征，参与其中的有西班牙心脏病学会（老年心脏病学和缺血性心脏病/急性心血管护理分会）、西班牙内科医学会、西班牙初级保健医师学会以及西班牙老年医学和老年学学会。本共识文件表明，为了充分应对这些老年患者，需要进行全面评估，包括合并症、虚弱、功能状态、多重用药和药物相互作用。我们得出结论，在大多数患者中，药物治疗是最佳选择，且这种治疗必须考虑上述因素以及与衰老相关的生物学变化。
