Assessment and Management of Older Adults Undergoing PCI, Part 1: A JACC: Advances Expert Panel

ACC Interventional and Geriatric Cardiology Leadership Councils

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations

Abstract

As the population ages, older adults represent an increasing proportion of patients referred to the cardiac catheterization laboratory. Older adults are the highest-risk group for morbidity and mortality, particularly after complex, high-risk percutaneous coronary interventions. Structured risk assessment plays a key role in differentiating patients who are likely to derive net benefit vs those who have disproportionate risks for harm. Conventional risk assessment tools from national cardiovascular societies typically rely on 3 pillars: 1) cardiovascular risk; 2) physiologic and hemodynamic risk; and 3) anatomic and procedural risks. We propose adding a fourth pillar: geriatric syndromes, as geriatric domains can supersede all other aspects of risk.

Original languageEnglish
Article number100389
JournalJACC: Advances
Volume2
Issue number4
DOIs
StatePublished - Jun 2023

Keywords

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

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