Arshad Samiullah, Khan Samina, Karim Adham, Gupta Vedant A
Department of Medicine, Gill Heart and Vascular Institute, University of Kentucky, Lexington Kentucky, USA.
Department of Medicine, Royal Alexandra Hospital, Alberta Health Services, Alberta, Canada.
JRSM Cardiovasc Dis. 2022 May 26;11:20480040221102741. doi: 10.1177/20480040221102741. eCollection 2022 Jan-Dec.
Elderly patients with coronary artery disease have a high prevalence of frailty and malnutrition. Frailty syndrome is associated with poor outcomes in patients with myocardial infarction. There is a known overlap between frailty and malnutrition, yet these are two different entities. Fried Frailty Phenotype, Frail Scale, timed up and go test, and gait speed are rapid screening tests that may identify patients with frailty in everyday clinical setting. Short Form MNA is a sensitive tool to screen for malnutrition. Despite the availability of several tools for screening for both these conditions, the screening rates remain low. We aim to create awareness about the impacts of frailty and malnutrition, provide a brief overview of tools available and highlight the importance of screening in this high-risk population.
老年冠心病患者虚弱和营养不良的患病率很高。虚弱综合征与心肌梗死患者的不良预后相关。虚弱和营养不良之间存在已知的重叠，但它们是两个不同的实体。弗里德虚弱表型、虚弱量表、计时起立行走测试和步速是快速筛查测试，可在日常临床环境中识别虚弱患者。简版微型营养评定法是筛查营养不良的敏感工具。尽管有多种工具可用于筛查这两种情况，但筛查率仍然很低。我们旨在提高对虚弱和营养不良影响的认识，简要概述可用工具，并强调在这一高危人群中进行筛查的重要性。
