Lapteva E S, Ariev A L
I.I.Mechnikov North-Western State Medical University, E.S.Pushkova Department of Geriatrics, Propaedeutics and Nursing Management, 41 Kirochnaya str., St. Petersburg 191015, Russian Federation, e-mail:
Adv Gerontol. 2024;37(1-2):26-32.
The purpose of this review is to demonstrate the importance of using a comprehensive geriatric examination in cardiology, including geriatric aspects of the management of this patient population. Until now, the Russian Federation has completely lacked a geriatric approach to the management of cardiological patients, which provides for consideration of international experience in this survey. The curation of elderly and elderly patients is complicated by the presence of geriatric syndromes and age-associated diseases leading to deterioration of quality of life, repeated hospitalizations, disability and risk of death. The leading geriatric syndrome in geriatric practice is senile asthenia and multiple comorbid polymorbid pathologies of the geriatric patient. A patient admitted to an acute care hospital with a history of cardiovascular comorbid pathology is primarily viewed as a patient at high risk for cardiovascular complications, omitting the risk of adverse outcomes, including loss of independence and impaired functional status. The following literature review demonstrates the importance of defining senile asthenia outside of the geriatrician's office, justifying the need for advanced training for cardiologists in geriatrics.
本综述的目的是证明在心脏病学中使用全面的老年医学检查的重要性，包括对这一患者群体管理的老年医学方面。到目前为止，俄罗斯联邦在心脏病患者管理方面完全缺乏老年医学方法，而本调查考虑了国际经验。老年综合征和与年龄相关的疾病的存在使老年和高龄患者的管理变得复杂，这些疾病会导致生活质量下降、反复住院、残疾和死亡风险。老年医学实践中主要的老年综合征是老年衰弱和老年患者的多种共病多病理状态。因心血管共病病史入住急症医院的患者主要被视为心血管并发症的高危患者，而忽略了包括失去独立性和功能状态受损在内的不良后果风险。以下文献综述证明了在老年医学专家办公室之外定义老年衰弱的重要性，说明了心脏病专家接受老年医学高级培训的必要性。
