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Curr Cardiovasc Risk Rep. 2015 Dec;9(12). doi: 10.1007/s12170-015-0476-z. Epub 2015 Oct 07.

The Application of Frailty to the Modern Cardiac Risk Assessment: a Case-Based Review.

Current cardiovascular risk reports

Matthew Finn, Philip Green

Affiliations

  1. Department of Cardiology, Columbia University Medical Center, New York, NY, USA ; Division of Cardiology, 622 West 168th Street, PH 3-347, New York, NY 10032, USA.
  2. Department of Cardiology, Columbia University Medical Center, New York, NY, USA.

PMID: 27668030 PMCID: PMC5033127 DOI: 10.1007/s12170-015-0476-z

Abstract

Cardiac risk assessment in aging patients poses a significant challenge to the practicing clinician, particularly when evaluating the use of invasive procedures. Frailty is a valuable risk marker that has been associated with worse outcomes in patients with coronary artery disease, heart failure, and aortic stenosis. Integrating the available frailty studies into cardiac risk assessments can help improve shared decision-making between physicians and their patients. In this review, we provide an up-to-date, case-based appraisal of the available clinical trial data focusing on the impact of frailty in patients with cardiovascular disease.

Keywords: Aging; Aortic stenosis; Cardiac risk assessment; Coronary artery disease; Elderly; Frailty; Geriatric; Heart failure; Transcatheter aortic valve replacement

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