Should your Patient have that Cardiac Intervention?

Should your Patient have that Cardiac Intervention? - #26

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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.
  1. Schonberg MA, Davies RB, McCarthy EP, Marcantonio ER. Index to predict 5-year mortality of community-dwelling adults age 65 and older using data from the national health interview survey. J Ger Intern Med. 2009;24(10):1115-1121.
  2. 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.
  3. American Society of Anesthesiologists. New classification of physical status. Anesthesiology 1963;24:111.
  4. Bowie MW, Slattum PW. Pharmacodynamics in older adults: a review. Am J Geriatr Pharmacother. 2007;5(3):263-303.
  5. 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.
This GFF ___ my competence in geriatrics.

Gabriel Manzi MD, Catherine Malmsten MD, Guru Krishnan, Nicholas Dreger, Kathryn Denson MD

Medical College of Wisconsin, Milwaukee, Wisconsin