Personalized approaches to cardiovascular care for the elderly-patient centered care

Mohammed Hamed Alqahtani

doi:10.53730/ijhs.v7nS1.15022

Authors

Mohammed Hamed Alqahtani KSA, National Guard Health Affairs

Keywords:

cardiovascular care, patient-centered care, elderly, multimorbidity, goal-directed care, geriatric assessment, polypharmacy, falls, frailty, digital health

Abstract

Introduction: The aging population in the United States is set to expand significantly by 2050, with over 80 million Americans aged 65 and older. This demographic faces complex health challenges, including high rates of cardiovascular diseases often accompanied by multimorbidity. Traditional disease-specific guidelines, which do not account for the multifaceted nature of aging, leave gaps in managing these conditions effectively. Aim: This review aims to propose a framework for integrating personalized, patient-centered approaches into cardiovascular care for the elderly. The focus is on addressing the unique needs of this population through comprehensive, goal-directed care. Methods: The review synthesizes current literature and guidelines from major cardiovascular and geriatric organizations, including the American College of Cardiology (ACC) and the European Society of Cardiology (ESC). It discusses the integration of patient goals, comprehensive geriatric assessments, and proactive management of aging-related risks, including polypharmacy, falls, and frailty. Results: The review highlights the importance of incorporating patient preferences and values into treatment decisions. It finds that goal-directed care, informed by comprehensive assessments and proactive management, can enhance treatment adherence, reduce low-value care, and improve overall quality of life for older adults with cardiovascular diseases.

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