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Review Article   

Minerva Medica 2022 Mar 25

DOI: 10.23736/S0026-4806.22.08086-7

Copyright © 2022 EDIZIONI MINERVA MEDICA

lingua: Inglese

The older patient with cardiovascular disease: background and clinical implications of the comprehensive geriatric assessment (CGA)

Renzo ROZZINI 1, 2 , Angelo BIANCHETTI 3, Paolo ALBONI 1, Samuele BALDASSERONI 1, Mario BO 1, Alessandro BOCCANELLI 1, Giovambattista DESIDERI 1, Niccolò MARCHIONNI 1, Giuseppe PALAZZO 1, Pierfranco TERROSU 1, Andrea UNGAR 1, Francesco VETTA 1, Giovanni ZITO 1

1 SICGe Società Italiana di Cardiologia Geriatrica, Florence, Italy; 2 Fondazione Poliambulanza, Istituto Ospedaliero, Brescia, Italy; 3 Istituto Clinico Sant’Anna, Brescia, Italy


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Principles and processes of Comprehensive Geriatric Assessment (CGA) are increasingly being applied to subspecialties and subspecialty conditions, including cardiovascular patients (i.e. infective endocarditis; considerations of surgery or transcatheter aortic valve replacement, TAVR, for patients with aortic stenosis; vascular surgery) and postoperative mortality risk. In cardiovascular field CGA has mainly the aim to define ideal management according to the different typology of older adult patients (eg, robust versus intermediate versus physical and cognitively disabled versus end-stage or dying), allowing physicians to select different therapeutic goals according to life expectancy; Aspect to be valued are by CGA are global health status and patient’s decision-making capacity: CGA allows the individualized treatment definition and optimize the preprocedure condition.


KEY WORDS: Geriatric assessment; Preoperative evaluation; Intensity of care; Prognosis

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