Lapteva E S, Ariev A L, Petrova V B
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(3):208-220.
This review presents a targeted examination of the application of comprehensive geriatric assessment tools across various cardiovascular pathologies, including acute coronary syndrome, myocardial infarction, acute and chronic heart failure, and aortic stenosis. It has been demonstrated that assessing patient frailty in cardiovascular pathology is crucial for determining both short-term and long-term prognosis, as well as for evaluating the risk of various complications during cardiac surgical interventions. Currently, there is active research into necessary measures aimed at improving outcomes in frail elderly patients with cardiovascular diseases, such as interdisciplinary rehabilitation and geriatric approaches. Frail patients with cardiovascular diseases should be considered as requiring a personalized approach in the provision of cardiological care, with a deep understanding of geriatric issues in the elderly, to reduce complications and improve prognosis.
本综述对综合老年评估工具在各种心血管疾病中的应用进行了有针对性的研究，这些疾病包括急性冠状动脉综合征、心肌梗死、急慢性心力衰竭以及主动脉瓣狭窄。已经证明，在心血管疾病中评估患者的虚弱程度对于确定短期和长期预后以及评估心脏手术干预期间各种并发症的风险至关重要。目前，针对改善老年心血管疾病虚弱患者预后的必要措施正在积极研究中，例如跨学科康复和老年医学方法。患有心血管疾病的虚弱患者在提供心脏护理时应被视为需要个性化方法，要深入了解老年人的老年医学问题，以减少并发症并改善预后。
