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Review
. 2016 May;32(2):359-71.
doi: 10.1016/j.cger.2016.01.004. Epub 2016 Feb 12.

Assessing Risks and Benefits of Invasive Cardiac Procedures in Patients with Advanced Multimorbidity

Ariela R Orkaby  1 , Daniel E Forman  2
Affiliations
Review

Assessing Risks and Benefits of Invasive Cardiac Procedures in Patients with Advanced Multimorbidity

Ariela R Orkaby et al. Clin Geriatr Med. 2016 May.

Abstract

Age-related cardiovascular disease in older adults is more likely to occur in combination with other age-related diseases, with mounting interactive complexity as multiple morbidities accumulate. Although invasive cardiac procedures are frequently recommended for cardiovascular disease, their value is less certain in the context of age-related intricacies of care. Tools for risk assessment before invasive procedures are insensitive to risks corresponding to the unique challenges of older adults. Recognizing multimorbidity and other age-related risks provides opportunities to intervene and moderate dangers. By refocusing risk assessment in terms of patient-centered goals, the fundamental utility of invasive cardiac procedures may be reconsidered and alternative therapies prioritized.

Keywords: Cardiology; Geriatrics; Multimorbidity; Preoperative assessment.

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