Assessing Risks and Benefits of Invasive Cardiac Procedures in Patients with Advanced Multimorbidity.
Clin Geriatr Med. 2016 May;32(2):359-71
Authors: Orkaby AR, Forman DE
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.
PMID: 27113152 [PubMed - in process]