Suppr超能文献

如何改善老年心血管疾病患者的临床结局并降低心血管风险:填补证据空白

How to Improve Clinical Outcomes and Reduce Cardiovascular Risk in Older People with Cardiovascular Disease: Bridging Evidence Gaps.

作者信息

Wajngarten Mauricio

机构信息

Department of Cardiology, Hospital Israelita Albert Einstein São Paulo, Brazil.

出版信息

Eur Cardiol. 2023 Apr 24;18:e17. doi: 10.15420/ecr.2022.59. eCollection 2023.

Abstract

The geriatric population is greatly impacted by cardiovascular disease. Thus, it becomes essential to 'geriatricise' the cardiologist through the dissemination of geriatric cardiology. In the early days of geriatric cardiology, it was discussed whether it was simply cardiology 'well done'. Today, 40 years later, it seems clear that this is indeed the case. Patients with cardiovascular disease usually have several chronic conditions. Clinical practice guidelines often address a single condition and do not provide sufficient guidance for patients with multimorbidity. There are several evidence gaps regarding these patients. Physicians and members ofthe care team need a multidimensional understanding ofthe patient to better promote the optimisation of care. It is important to understand that ageing is inevitable, heterogeneous and increases vulnerability. Caregivers must know how to assess elderly patients in a multidomain practical way and how to recognise the factors that may have implications on treatment.

摘要

老年人群体受到心血管疾病的极大影响。因此,通过传播老年心脏病学知识,使心脏病专家“老年化”变得至关重要。在老年心脏病学发展的早期,曾讨论过它是否仅仅是做得很好的心脏病学。如今,40年过去了,似乎很明显情况确实如此。患有心血管疾病的患者通常有多种慢性病。临床实践指南往往只针对单一病症,对于患有多种疾病的患者没有提供足够的指导。关于这些患者存在一些证据空白。医生和护理团队成员需要对患者有多维的了解,以便更好地促进护理的优化。重要的是要明白,衰老是不可避免的、具有异质性且会增加脆弱性。护理人员必须知道如何以多领域的实用方式评估老年患者,以及如何识别可能对治疗有影响的因素。

相似文献

2
[How much frailty is important in cardiology?].[衰弱在心脏病学中有多重要?]
G Ital Cardiol (Rome). 2019 Apr;20(4):210-222. doi: 10.1714/3126.31074.
6
The future of Cochrane Neonatal.考克兰新生儿协作网的未来。
Early Hum Dev. 2020 Nov;150:105191. doi: 10.1016/j.earlhumdev.2020.105191. Epub 2020 Sep 12.

本文引用的文献

7
6. Glycemic Targets: .6. 血糖目标: 。
Diabetes Care. 2020 Jan;43(Suppl 1):S66-S76. doi: 10.2337/dc20-S006.

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验