Editor’s Choice - Frailty and the management of patients with acute cardiovascular disease: A position paper from the Acute Cardiovascular Care Association

Author:

Walker DM1,Gale CP2,Lip G34,Martin-Sanchez FJ5,McIntyre HF1,Mueller C6,Price S7,Sanchis J89,Vidan MT10,Wilkinson C2,Zeymer U11,Bueno H12

Affiliation:

1. East Sussex Healthcare NHS Trust, UK

2. Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, UK

3. Institute for Cardiovascular Sciences, University of Birmingham, UK

4. Aalborg Thrombosis Research Unit, Aalborg University, Denmark

5. Universidad Complutense de Madrid, Spain

6. Cardiovascular Research Institute Basel, University of Basel, Switzerland

7. Royal Brompton Hospital, UK

8. Department of Cardiology, University of Valencia, Spain

9. University of Valencia, CIBER CV, Spain

10. Department of Geriatrics, Universidad Complutense de Madrid Dr Esquerdo, Spain

11. Klinikum Ludwigshafen und Institut for Herzinfarktforschung, Germany

12. National Centre for Cardiovascular Research, Spain

Abstract

Frailty is increasingly seen among patients with acute cardiovascular disease. A combination of an ageing population, improved disease survival, treatable long-term conditions as well as a greater recognition of the syndrome has accelerated the prevalence of frailty in the modern world. Yet, this has not been matched by an expansion of research. National and international bodies have identified acute cardiovascular disease in the frail as a priority area for care and an entity that requires careful clinical decisions, but there remains a paucity of guidance on treatment efficacy and safety, and how to manage this complex group. This position paper from the Acute Cardiovascular Care Association presents the latest evidence about frailty and the management of frail patients with acute cardiovascular disease, and suggests avenues for future research.

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine,Critical Care and Intensive Care Medicine,General Medicine

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