Cardiovascular prevention in elderly patients.
Clara Bonanad, Rosa Fernández-Olmo, Sergio García‐Blas, José Antonio Alarcón, Pablo Díez‐Villanueva, Carmen Rus Mansilla, Héctor García‐Pardo, Pablo Toledo, Ana Ayesta, Eva Pereira, Antoni Carol, Almudena Castro-Conde, Carmen de Pablo-Zarzoso, Manuel Martínez‐Sellés, Vicente Arrarte, Raquel Campuzano, Albert Ariza‐Solé
Abstract
In recent decades, life expectancy has been increasing significantly. In this scenario, health interventions are necessary to improve prognosis and quality of life of elderly with cardiovascular risk factors and cardiovascular disease. However, the number of elderly patients included in clinical trials is low, thus current clinical practice guidelines do not include specific recommendations. This document aims to review prevention recommendations focused in patients ≥ 75 years with high or very high cardiovascular risk, regarding objectives, medical treatment options and also including physical exercise and their inclusion in cardiac rehabilitation programs. Also, we will show why geriatric syndromes such as frailty, dependence, cognitive impairment, and nutritional status, as well as comorbidities, ought to be considered in this population regarding their important prognostic impact.