Forouzandeh Farshad, Alexander Karen, Forman Daniel, Kirkpatrick James N, Rich Michael W, Zieman Susan, Wenger Nanette K
University Hospitals Harrington Heart & Vascular Institute, Case Western Reserve University School of Medicine, Cleveland, OH.
Division of Cardiology, Duke Clinical Research Institute, Duke University Medical Center, Durham, NC.
JACC Adv. 2024 Feb;3(2). doi: 10.1016/j.jacadv.2023.100820. Epub 2024 Jan 11.
The 1986 Bethesda Conference on Cardiovascular Disease (CVD) in the Elderly, co-chaired by Drs. Nanette Wenger, Frank Marcus, and Robert O'Rourke, delineated the anticipated social, political, ethical, economic and technological impact of an aging population on the incidence, prevalence, and management of CVD in the US and worldwide. In the ensuing 4 decades, older patients have come to comprise an increasingly large proportion of the CVD population, and there has been an explosion of research in all aspects of CVD affecting older adults. Correspondingly, is now an established field within cardiovascular medicine. In this communication, we provide a focused update on intersections between CVD and geriatrics from basic science to clinical practice, a review of major advances in diagnosis and treatment of older adults with CVD, and a preview of future research directions in the still evolving field of geriatric cardiology.
1986年由南内特·温格博士、弗兰克·马库斯博士和罗伯特·奥罗克博士共同主持的贝塞斯达老年心血管疾病会议，阐述了人口老龄化对美国乃至全球心血管疾病发病率、患病率及管理的预期社会、政治、伦理、经济和技术影响。在随后的40年里，老年患者在心血管疾病人群中所占比例越来越大，并且在影响老年人的心血管疾病各个方面都有大量研究涌现。相应地，老年心脏病学如今已成为心血管医学中的一个既定领域。在本交流中，我们提供了从基础科学到临床实践的心血管疾病与老年医学交叉领域的重点更新内容，回顾了老年心血管疾病患者诊断和治疗方面的主要进展，并对仍在不断发展的老年心脏病学领域的未来研究方向进行了展望。
