Featured Research

from universities, journals, and other organizations

Older heart patients need personalized preventive care

Date:
October 28, 2013
Source:
American Heart Association
Summary:
Health-care providers should personalize preventive care for cardiovascular disease patients age 75 and older. The benefits of preventive strategies must be balanced with the risks and tradeoffs of various interventions for older patients, and patients should be involved in the decision-making process.

Strategies to prevent heart attack, stroke and other major cardiac events should be individualized for older adults who should play a role in choosing their therapies, according to an American Heart Association scientific statement published in its journal Circulation.

Related Articles


The statement is a comprehensive review of the benefits and risks of medical and lifestyle interventions for cardiovascular disease patients age 75 and older. It addresses obesity, high blood pressure, cholesterol, diabetes, inadequate nutrition, physical inactivity and tobacco use. It also includes the value of cardiac rehabilitation, revascularization techniques and implantable cardioverter defibrillators.

"Preventive care should not be set aside simply because you're getting older," said Daniel Forman, M.D., co-lead author of the statement and director of Cardiac Rehabilitation at Brigham and Women's Hospital in Boston.

The statement is published at a critical time when about 6 percent of the U.S. population (about 18.6 million) is 75 and older. That percentage is expected to double by 2050. More people are living with cardiovascular disease, but many are not receiving evidence-based therapies.

Statement highlights include:

  • While some interventions result in modest survival gains in older people, they provide other benefits. For example, weight loss may not lower the risk for a cardiovascular event, but it can improve mobility, blood sugar control and arthritic pain.
  • Doctors must consider drug interactions, adherence, medication costs and other consequences for older patients who take multiple medications for heart-related and other conditions.
  • Patient preferences should be carefully evaluated. Some older patients may prefer to live with an increased risk of a cardiovascular event rather than make lifestyle changes or undergo procedures late in life.
  • Healthcare providers should ask patients if they're using "alternative medicine" products, such as herbs, foods or nutrition supplements. Clinical trials have not supported their use, but it's common among older patients and can have negative interactions with prescription drugs.

To ensure older adults with cardiovascular disease receive the most appropriate care, the statement also advises:

  • More research to clarify which lifestyle changes, medication regimens and revascularization and device strategies provide the greatest benefits and fewest risks.
  • Better risk assessment tools to determine which patients are most likely to benefit from preventive therapy.
  • Improved health literacy among older adults to ensure they understand the advantages, burdens and limitations of care.

"Care for older adults demands equally rigorous thought as for a younger adult," Forman said.


Story Source:

The above story is based on materials provided by American Heart Association. Note: Materials may be edited for content and length.


Journal Reference:

  1. Jerome L. Fleg, Daniel E. Forman, Kathy Berra, Vera Bittner, James A. Blumenthal, Michael A. Chen, Susan Cheng, Dalane W. Kitzman, Mathew S. Maurer, Michael W. Rich, Win-Kuang Shen, Mark A. Williams, and Susan J. Zieman. Secondary Prevention of Atherosclerotic Cardiovascular Disease in Older Adults: A Scientific Statement from the American Heart Association. Circulation, October 2013

Cite This Page:

American Heart Association. "Older heart patients need personalized preventive care." ScienceDaily. ScienceDaily, 28 October 2013. <www.sciencedaily.com/releases/2013/10/131028162806.htm>.
American Heart Association. (2013, October 28). Older heart patients need personalized preventive care. ScienceDaily. Retrieved March 2, 2015 from www.sciencedaily.com/releases/2013/10/131028162806.htm
American Heart Association. "Older heart patients need personalized preventive care." ScienceDaily. www.sciencedaily.com/releases/2013/10/131028162806.htm (accessed March 2, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Monday, March 2, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Treadmill Test Can Predict Chance Of Death Within A Decade

Treadmill Test Can Predict Chance Of Death Within A Decade

Newsy (Mar. 2, 2015) Johns Hopkins researchers analyzed 58,000 heart stress tests to come up with a formula that predicts a person&apos;s chances of dying in the next decade. Video provided by Newsy
Powered by NewsLook.com
Going Gluten-Free Could Get You A Tax Break

Going Gluten-Free Could Get You A Tax Break

Newsy (Mar. 2, 2015) If a doctor advises you to remove gluten from your diet, you could get a tax deduction on the amount you spend on gluten-free foods. Video provided by Newsy
Powered by NewsLook.com
GlaxoSmithKline and Novartis Try Swapping Success

GlaxoSmithKline and Novartis Try Swapping Success

Reuters - Business Video Online (Mar. 2, 2015) GlaxoSmithKline and Novartis have completed a series of asset swaps worth more than $20 billion. As Grace Pascoe reports they say the deal will reshape both drugmakers. Video provided by Reuters
Powered by NewsLook.com
How Can West Africa Rebuild After Ebola?

How Can West Africa Rebuild After Ebola?

Reuters - Business Video Online (Mar. 2, 2015) How best to rebuild the three West African countries struggling with Ebola will be discussed in Brussels this week. As Hayley Platt reports Sierra Leone has the toughest job ahead - its once thriving economy has been ravaged by the disease. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins