Establishing Cardiovascular Centers on Aging
Key result
Establishing specialized cardiovascular centers on aging that integrate geriatric principles into cardiovascular care can address the unique multicomplex needs of older adults with cardiovascular disease.
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Key Points
- To outline the necessity, framework, and organizational principles for establishing dedicated cardiovascular centers on aging that address multicomplexity in older adults.
- Narrative framework outlining a specialized center model comprising clinical services, clinical and translational research, and education and training.
- Description of inpatient consult services, preprocedural risk stratification, outpatient clinics, and tailored cardiac rehabilitation.
- Over 65% of Americans aged 65 years and older have two or more comorbid conditions, and over 80% of those aged 75 years and older experience multimorbidity.
- Traditional cardiovascular trials frequently exclude older, frail individuals, creating substantial evidence gaps regarding interventions in patients with multicomplexity.
- Integrating comprehensive geriatric assessment into cardiovascular care addresses delirium, falls, and polypharmacy while expanding outcomes to functional independence and quality of life.
PICO
P
Population
Cardiovascular disease in older adults
I
Intervention / Comparator
Cardiovascular Centers on Aging vs Traditional single disease model
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Key expert perspectives
Captured external expert commentary on this paper, strongest first. Original sources are linked where available.
“Having a heart attack is quite different at age 55 than at age 80. You can usually expect a younger patient to resume their previous life after recovery, but that is often not the case with an elderly patient. As people age, they are more likely to be contending with significant comorbidities and other problems of aging, requiring more than focused cardiovascular disease management to achieve good outcomes.”
“As the population ages, we must evolve how we deliver care. By integrating geriatric expertise into cardiovascular treatment, we can better support the individual needs of older adults and improve their overall outcomes.”
“The aging of the population presents unique challenges in the delivery of optimal care. Efforts like our Cardiovascular Center on Aging will help us optimize prevention, maintenance and functional recovery from cardiovascular disease in all its forms.”
Implication
Integrating geriatric principles into cardiovascular care pathways through dedicated centers of excellence is essential to adequately address the clinical and social complexity of the aging patient population.
Abstract
he world population is aging at an unprecedented rate. 1 Cardiovascular disease (CVD)
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Cite This Study
Damluji et al. (2025) conducted an editorial in Cardiovascular disease in older adults. Cardiovascular Centers on Aging vs. Traditional single disease model was evaluated. Establishing specialized cardiovascular centers on aging that integrate geriatric principles into cardiovascular care can address the unique multicomplex needs of older adults with cardiovascular disease.