Optimizing Cardiovascular Care in Aging Populations: A Comprehensive Review of Geriatric Cardiology.

A narrative review was conducted by searching recent literature in databases like Cochrane and PubMed, using keywords such as "older adults", "cardiovascular disease", "frailty", and "polypharmacy". The identified literature included cohort studies, scientific statements, systematic reviews, meta-analyses, and narrative reviews from the last 15 years focusing on comprehensive care and recent evidence-based updates in geriatric cardiology. Inclusion criteria of the aging population and the elderly with cardiovascular conditions have been applied. The review excluded articles on pregnant women and children, studies on animals, and articles not written in English. A thematic synthesis was conducted to identify key challenges and strategies in geriatric cardiovascular care, focusing on multimorbidity, cognitive impairment, and integrative care models. Our narrative review documents definitions, findings, recent updates and practical approaches that can be implemented in geriatric practice addressing diagnostic and therapeutic challenges in geriatric cardiology; disadvantages of traditional-disease focused models in elderly; frailty, multimorbidity, polypharmacy and overcoming them; health inequities and disparities in cardiogeriatric populations; and finally about some of the areas needing future researches and policies. The global rise in the aging population has contributed to cardiovascular diseases (CVDs) becoming a dominant health concern among older adults who often present with a range of coexisting conditions. These geriatric syndromes complicate standard cardiovascular care, making collaborative multidisciplinary and patient-centered strategies essential to improve health outcomes and functional independence. This narrative review is aimed at exploring the efficacy of integrated, evidence-based multidisciplinary cardiovascular care models on improving clinical outcomes and quality of life (QoL) among geriatric adults. The objective evaluates and compares the impact of these models versus traditional practices, while also exploring key challenges and recent innovations in cardiovascular care for aging populations.