Multimorbidity in Older Adults With Cardiovascular Disease

被引：242

作者：

Forman, Daniel E. ^{[1
,2
]}

Maurer, Mathew S. ^{[3
]}

Boyd, Cynthia ^{[4
]}

Brindis, Ralph ^{[5
]}

Salive, Marcel E. ^{[6
]}

Home, Frances McFarland ^{[7
]}

Bell, Susan P. ^{[8
]}

Fulmer, Terry ^{[9
]}

Reuben, David B. ^{[10
]}

Zieman, Susan ^{[6
]}

Rich, Michael W. ^{[11
]}

机构：

[1] Univ Pittsburgh, Dept Med, Sect Geriatr Cardiol, Vet Affairs Geriatr Res Educ, Pittsburgh, PA USA

[2] Univ Pittsburgh, Ctr Clin, Pittsburgh, PA USA

[3] Columbia Univ, Dept Med, Div Cardiol, Med Ctr, New York, NY USA

[4] Johns Hopkins Univ, Sch Med, Dept Med, Baltimore, MD 21205 USA

[5] Univ Calif San Francisco, Phillip R Lee Inst Hlth Policy Studies, San Francisco, CA 94143 USA

[6] NIA, Div Geriatr & Clin Gerontol, Bethesda, MD 20892 USA

[7] Assoc Specialty Prof, Alexandria, VA USA

[8] Vanderbilt Univ, Med Ctr, Dept Med, Div Cardiovasc Med, Nashville, TN USA

[9] John A Hartford Fdn, New York, NY USA

[10] Univ Calif Los Angeles, David Geffen Sch Med, Div Geriatr, Los Angeles, CA 90095 USA

[11] Washington Univ, Sch Med, Dept Med, Div Cardiol, St Louis, MO 63110 USA

来源：

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY | 2018年 / 71卷 / 19期

关键词：

aging; frailty; multimorbidity; polypharmacy; quality of life; ELEVATION MYOCARDIAL-INFARCTION; CLINICAL-PRACTICE GUIDELINES; PATIENT-CENTERED CARE; HEALTH-CARE; ST-ELEVATION; TASK-FORCE; TIME; COLLABORATION; ASSOCIATION; DEFINITION;

D O I：

10.1016/j.jacc.2018.03.022

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Multimorbidity occurs in adults of all ages, but the number and complexity of comorbid conditions commonly increase with advancing age such that cardiovascular disease (CVD) in older adults typically occurs in a context of multimorbidity. Current clinical practice and research mainly target single disease-specific care that does not embrace the complexities imposed by concurrent conditions. In this paper, emerging concepts regarding CVD in combination with multimorbidity are reviewed, including recommendations for incorporating multimorbidity into clinical decision making, critical knowledge gaps, and research priorities to optimize care of complex older patients. (c) 2018 the American College of Cardiology Foundation. Published by Elsevier. All rights reserved.

引用

页码：2149 / 2161

页数：13

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