Department of Family Medicine, University of Connecticut Health Center, Farmington, Connecticut.
Center on Aging, University of Connecticut Health Center, Farmington, Connecticut.
J Am Geriatr Soc. 2020 May;68(5):1098-1106. doi: 10.1111/jgs.16353. Epub 2020 Feb 7.
Cardiovascular disease (CVD) is common in older adults. CVD is a significant cause of both death and disability in old age. Though the prevention and treatment of CVD have been extensively studied, historically older adults and especially those older than 75 years have been underrepresented in clinical investigations designed to determine the best way to prevent or treat CVD. As a result, geriatrics clinicians frequently need to decide which interventions to recommend for their patients by extrapolation from existing data, which may or may not be applicable to the patients they are caring for. This narrative review summarizes existing data regarding the prevention of three common CVDs in older adults: stroke, coronary artery disease, and peripheral artery disease. Special emphasis is given to the prevention of CVD in those aged 75 years or older. J Am Geriatr Soc 68:1098-1106, 2020.
心血管疾病(CVD)在老年人中很常见。CVD 是老年人死亡和残疾的重要原因。尽管 CVD 的预防和治疗已经得到了广泛的研究,但历史上老年人,尤其是 75 岁以上的老年人,在旨在确定预防或治疗 CVD 的最佳方法的临床研究中代表性不足。因此,老年病临床医生经常需要根据现有数据推断出哪些干预措施适合他们的患者,这些数据可能适用于也可能不适用于他们正在照顾的患者。本综述总结了有关预防三种常见 CVD(中风、冠心病和外周动脉疾病)在老年人中的现有数据。特别强调了预防 75 岁及以上老年人 CVD 的问题。J Am Geriatr Soc 68:1098-1106, 2020.