Key result
Geriatric co-management in elderly TAVI identifies hidden frailty and delirium to improve care.
Why the study?
The management of older patients with asymptomatic aortic stenosis lacks integration of a geriatric approach alongside cardiology care.
Case Report (n=1)
Highlights the importance of a multidisciplinary geriatric approach in managing older patients undergoing TAVI to mitigate post-interventional complications.
Answers are grounded in this paper and cite their sources.
Caution against omitting geriatric input post-TAVI in older adults; leaves open whether routine involvement reduces complications.
We present a case report of an older patient with aortic stenosis who was managed before and after transcatheter aortic valve implantation by a team of cardiologists but without the support of a geriatrician. We first describe the patient's post-interventional complications from a geriatric perspective and afterwards, discuss the unique approach that the geriatrician would have provided. This case report was written by a group of geriatricians working in an acute hospital, along with a clinical cardiologist who is an expert in aortic stenosis. We discuss the implications for modifying conventional practice in tandem with existing literature.
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Finazzi et al. (2023) conducted a case report in Asymptomatic Aortic Stenosis (n=1). Comprehensive Geriatric Assessment was evaluated.
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