Key result
Geriatric heart teams and risk assessments aim to optimize patient-centered outcomes in older PCI patients.
Why the study?
To review a comprehensive risk assessment approach incorporating geriatric syndromes to optimize patient-centered outcomes in older adults undergoing percutaneous coronary interventions.
Proposes the integration of geriatric principles and a specialized heart team to optimize patient-centered outcomes in older adults undergoing PCI.
Hypothesis-generating for geriatric integration in elderly PCI; prospective trials needed before practice change.
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.
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Nanna et al. (2023) conducted a review in Percutaneous coronary interventions in older adults. Geriatric risk assessment and heart team was evaluated. A comprehensive geriatric risk assessment and a specialized geriatric heart team are proposed to optimize patient-centered outcomes in older adults undergoing percutaneous coronary interventions.
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