A Geriatric Approach to Percutaneous Coronary Interventions in Older Adults, Part II: A JACC: Advances Expert Panel

Michael G. Nanna, Nadia R. Sutton, Ajar Kochar, Jennifer A. Rymer, Angela M. Lowenstern, Grace Gackenbach, Scott L. Hummel, Parag Goyal, Michael W. Rich, James N. Kirkpatrick, Ashok Krishnaswami, Karen P. Alexander, Daniel E. Forman, Anna E. Bortnick, Wayne Batchelor, Abdulla A. Damluji

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations

Abstract

We review a comprehensive risk assessment approach for percutaneous coronary interventions in older adults and highlight the relevance of geriatric syndromes within that broader perspective to optimize patient-centered outcomes in interventional cardiology practice. Reflecting the influence of geriatric principles in older adults undergoing percutaneous coronary interventions, we propose a “geriatric” heart team to incorporate the expertise of geriatric specialists in addition to the traditional heart team members, facilitate uptake of the geriatric risk assessment into the preprocedural risk assessment, and address ways to mitigate these geriatric risks. We also address goals of care in older adults, highlighting common priorities that can impact shared decision making among older patients, as well as frequently encountered pharmacotherapeutic considerations in the older adult population. Finally, we clarify gaps in current knowledge and describe crucial areas for future investigation.

Original languageEnglish
Article number100421
JournalJACC: Advances
Volume2
Issue number5
DOIs
StatePublished - Jul 2023

Keywords

  • acute coronary syndrome
  • cardiac catheterization
  • cardiovascular disease
  • geriatric assessment
  • multimorbidity
  • older adults
  • percutaneous coronary intervention
  • polypharmacy

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