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January 27, 2022European Heart Journal - Cardiovascular PharmacotherapyOpen Access

Cardiovascular pharmacotherapy in older adults with multimorbidity and polypharmacy is complex and lacks sufficient clinical trial evidence, requiring improved prescribing strategies.

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Why the study?

Evidence of drug efficacy and safety in older people with cardiovascular disease, multimorbidity, and polypharmacy is limited, and guidelines rarely address complex prescribing challenges in this population.

Design

Review

Key result

Cardiovascular pharmacotherapy in older adults with multimorbidity and polypharmacy is complex and lacks sufficient clinical trial evidence, requiring improved prescribing strategies.

Authors

JTJuan TamargoKKKeld Per KjeldsenEDEva Delpón

Discussion

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Overview

Urges cautious individualized prescribing in older adults with multimorbidity; leaves open the need for targeted trials to close evidence gaps.

Structured PICO

P
Population
Older people with cardiovascular disease, multimorbidity, and polypharmacy
E
Exposure
Cardiovascular pharmacotherapy and drug prescribing strategies

This ESC Working Group review emphasizes the critical need for tailored prescribing strategies and better clinical guidelines to manage polypharmacy and multimorbidity in older patients with cardiovascular disease.

Limitations

  • Evidence of drug efficacy and safety in older people with multimorbidity and polypharmacy is limited because these individuals are frequently underrepresented or excluded from clinical trials.
  • Clinical guidelines are largely written with a single-disease focus and only occasionally address coordination of care or treatment discontinuation.

Cite This Study

Tamargo et al. (2022) conducted a review in Cardiovascular disease, multimorbidity, and polypharmacy. Polypharmacy and cardiovascular pharmacotherapy was evaluated. Cardiovascular pharmacotherapy in older adults with multimorbidity and polypharmacy is complex and lacks sufficient clinical trial evidence, requiring improved prescribing strategies.

synapsesocial.com/papers/6a6a2987327391d1bb1a82bchttps://doi.org/10.1093/ehjcvp/pvac005
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