Use geriatric assessment tools to determine appropriateness of invasive cardiac interventions.
Elderly patient with cardiac disease indicating invasive intervention.
Determine appropriateness of invasive cardiac intervention in the geriatric cardiology patient through assessment of their overall physical health, cognition and function and social situation.
- List geriatric assessment principles to help identify patients who may benefit from invasive intervention.
- Identify factors that may increase morbidity and mortality in older adults with heart disease.
- Formulate appropriate prognosis of life expectancy.
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- Fleisher LA, Beckman JA, Brown KA et al. ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for non-cardiac surgery. Circulation. 2007;116(17):e418-e499. http://www.ncbi.nlm.nih.gov/pubmed/17950159
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- Bowie MW, Slattum PW. Pharmacodynamics in older adults: a review. Am J Geriatr Pharmacother. 2007;5(3):263-303. http://www.ncbi.nlm.nih.gov/pubmed/?term=pharmacodynamics+in+older+adults+a+review+bowie
- Walter LC, Lewis CL, Barton MB. Screening for colorectal, breast, and cervical cancer in the elderly: a review of the evidence. Am J Med. 2005 Oct; 118(10):1078-86. http://www.ncbi.nlm.nih.gov/pubmed/16194635
Users are free to download and distribute Geriatric Fast Facts for informational, educational, and research purposes only. Citation: Gabriel Manzi MD, Catherine Malmsten MD, Guru Krishnan, Nicholas Dreger, Kathryn Denson MD, Fast Fact #026: Should your patient have that cardiac intervention? April 2013.
Disclaimer: Geriatric Fast Facts are for informational, educational and research purposes only. Geriatric Fast Facts are not, nor are they intended to be, medical advice. Health care providers should exercise their own independent clinical judgment when diagnosing and treating patients. Some Geriatric Fast Facts cite the use of a product in a dosage, for an indication, or in a manner other than that recommended in the product labeling. Accordingly, the official prescribing information should be consulted before any such product is used.