Geriatric Cardiology
Geriatric cardiology has been recognized as an area of study dedicated to issues in cardiovascular health in geriatrics and complications and problems arising from aging. CVDs have recently become a major cause of morbidity and mortality for this generation of people due to the elderly population. There is, thus, a great need for the understanding of the connection between aging and the heart for appropriate management and treatment.
Older patients are frequently characterized by the presence of various comorbid conditions like hypertension, diabetes mellitus, and chronic kidney diseases, which make the diagnosis of cardiovascular disease a bit complicated. Also, patients may present atypically, which makes it tough to diagnose. For example, an older patient would not present with common chest pain during myocardial infarction but with a feeling of fatigue or even confusion.
Geriatric cardiologists manage their patients using a broader approach. This is made possible because the doctor deals with all factors that play a part in frailty, cognitive impairment, or functional status. It provides them with a complete and broad basis for making interventions, giving due emphasis both to the quality of life and the clinical outcomes themselves. A careful approach will be applied to pharmacotherapy since this age group more readily manifests adverse drug reactions, most likely because the patients receive polypharmacy and also because of age-related pharmacokinetic and pharmacodynamic changes.
In geriatric cardiology, prevention measures encompass lifestyle modifications in diet, exercise, and smoking. Screening and interventions are always made early on to avoid progression of the cardiovascular disease. Rehabilitation of the aged individual also has benefits concerning recovery and capacity for physical activity after the occurrence of a cardiovascular event.
The process of comprehensive care delivery requires proper collaboration among the healthcare service providers including the primary physicians, cardiologists, and the geriatricians. Hence, a great deal of research in this area with a keen emphasis on geriatric-specific details of heart health may contribute to improved evidence-based treatment guidelines in the coming days. In a nutshell, Geriatric Cardiology plays an extremely key role in this management in which individual and multidisciplinary approaches and care must be taken over.
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