AI Article Synopsis

  • Older adults are more susceptible to cardiovascular disease, but management strategies used for younger patients may not be effective or applicable for them.
  • Aging affects biology, physiology, and body composition, which complicates the interpretation of cardiovascular tests designed for younger populations.
  • A workshop hosted by leading organizations focused on understanding and improving diagnostic testing for older adults with cardiovascular disease, aiming to highlight challenges and research opportunities in this field.

Article Abstract

Whereas the burgeoning population of older adults is intrinsically vulnerable to cardiovascular disease, the utility of many management precepts that were validated in younger adults is often unclear. Whereas biomarker- and imaging-based tests are a major part of cardiovascular disease care, basic assumptions about their use and efficacy cannot be simply extrapolated to many older adults. Biology, physiology, and body composition change with aging, with important influences on cardiovascular disease testing procedures and their interpretation. Furthermore, clinical priorities of older adults are more heterogeneous, potentially undercutting the utility of testing data that are collected. The American College of Cardiology and the National Institutes on Aging, in collaboration with the American Geriatrics Society, convened, at the American College of Cardiology Heart House, a 2-day multidisciplinary workshop, "Diagnostic Testing in Older Adults with Cardiovascular Disease," to address these issues. This review summarizes key concepts, clinical limitations, and important opportunities for research.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7540920PMC
http://dx.doi.org/10.1016/j.jacc.2020.07.055DOI Listing

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