Cardiac Management in the Frail Elderly Patient and the Oldest Old

1. Front Matter

   Pages i-x

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2. Introduction: The Specificity of Geriatric Cardiology

   • Niccolò Marchionni, Alessandro Boccanelli

   Pages 1-8

3. Cardiovascular Disease in the Oldest Old: A Geriatric Epidemiology Perspective

   • Mauro Di Bari, Daniela Balzi

   Pages 9-22

4. Molecular Mechanisms of Cardiovascular Aging

   • Francesca Tarantini, Claudia Di Serio, Luigi Ferrucci

   Pages 23-40

5. Frailty and Heart Disease

   • Antonio Cherubini, Fabiana Mirella Trotta, Alessandra Marengoni

   Pages 41-58

6. Evidence-Based Versus Evidence-Biased Medicine in Geriatric Cardiology: From Trials to Real World

   • Matteo Monami, Mauro Di Bari

   Pages 59-62

7. Polypharmacy

   • Nicola Ferrara, Graziamaria Corbi, Klara Komici, Giuseppe Rengo

   Pages 63-70

8. Syncope and Unexplained Falls in the Elderly

   • Martina Rafanelli, Michele Brignole, Rose Anne Kenny

   Pages 71-86

9. Hypertension in the Oldest Old, Beyond Guidelines

   • Enrico Mossello, Giovambattista Desideri, Andrea Ungar

   Pages 87-103

10. New Challenges in Aortic Stenosis in the Elderly: From Epidemiology to TAVI

    • Andreas W. Schoenenberger, Manuel Martínez-Sellés

    Pages 105-111

11. Aging Kidney: Vascular Characteristics and Assessment

    • Andrea Ungar, Marcello Amato, Alice Ceccofiglio

    Pages 113-127

12. Risk Assessment in Cardiac and Noncardiac Surgery in Older Patients

    • Alessandra Pratesi, Samuele Baldasseroni, Iacopo Olivotto

    Pages 129-147

13. Atrial Fibrillation in the Elderly

    • Stefano Fumagalli, Debbie Gabbai, Luigi Padeletti, Harry J. Crijns, Gregory Y. H. Lip

    Pages 149-163

14. Treatment of Acute Coronary Syndromes in Elderly Patients

    • Leonardo Bolognese, Stefano Savonitto

    Pages 165-177

This book focuses specifically on the management of cardiovascular disease in elderly patients with particular frailties and in the “oldest old”. It is clearly explained how treatment in these patients differs from that in patients in their seventies who respond well to therapies and do not present frailties or organ failures. Although not young, the latter patients can be treated almost like any other patient, according to established guidelines. In contrast, the frail, compromised elderly and the oldest old require specific measures that target their needs, including with respect to underlying renal conditions. The book considers all those pathologies that have a high prevalence in the general population, explaining advanced treatment concepts and all aspects of assessment. Key clinical points are highlighted, and the text is supplemented with numerous informative figures and tables. The authors are respected experts, for the most part geriatric physicians, and the book is especially addressed to cardiologists, who may lack the described targeted information and treatment tools.

• Aortic stenosis
• Atrial fibrillation
• Heart disease
• Hypertension
• Kidney
• Oral anticoagulants
• Renal dysfunction
• ST segment elevation myocardial infarction
• Syncope
• Unexplained falls

“This is a good collection of evidence‐based practices in geriatric cardiology that provides guidance for appropriate decision making in the treatment of cardiovascular comorbidities in frail elderly geriatric patients based on the experience of professional geriatricians and cardiologists. … The audience is internists treating patients with common cardiovascular conditions, but it also would be useful for recent cardiology graduates.” (Ravi Prasad Avati Nanjundappa, Doody's Book Reviews, July, 2017)

• Hypertension Centre - Syncope Unit, Geriatrics Intensive Care Unit University of Florence and Azienda Ospedaliero-Universitaria Careggi, Florence, Italy

  Andrea Ungar

• Professor of Internal Medicine-Geriatrics University of Florence Director, Cardiothoracovascular Department Azienda Ospedaliero-Universitaria Careggi, Florence, Italy

  Niccolò Marchionni

Andrea Ungar, MD, PhD, FESC
Department of geriatrics and medicine
Careggi Hospital and university of Florence
Florence
Italy


Niccolò Marchionni
University of Florence and Careggi
Department of Clinical and Experime
Florence
Italy

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