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The Application of Frailty to the Modern Cardiac Risk Assessment: a Case-Based Review

  • Elderly + Heart Disease (K Dharmarajan, Section Editor)
  • Published:
Current Cardiovascular Risk Reports Aims and scope Submit manuscript

Abstract

Cardiac risk assessment in aging patients poses a significant challenge to the practicing clinician, particularly when evaluating the use of invasive procedures. Frailty is a valuable risk marker that has been associated with worse outcomes in patients with coronary artery disease, heart failure, and aortic stenosis. Integrating the available frailty studies into cardiac risk assessments can help improve shared decision-making between physicians and their patients. In this review, we provide an up-to-date, case-based appraisal of the available clinical trial data focusing on the impact of frailty in patients with cardiovascular disease.

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Abbreviations

AMI:

Acute myocardial infarction

CVD:

Cardiovascular disease

CAD:

Coronary artery disease

HF:

Heart failure

SAVR:

Surgical aortic valve replacement

STS:

Society thoracic surgeons

TAVR:

Transcatheter aortic valve replacement

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

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Authors and Affiliations

  1. Department of Cardiology, Columbia University Medical Center, New York, NY, USA

    Matthew Finn & Philip Green

  2. Division of Cardiology, 622 West 168th Street, PH 3-347, New York, NY, 10032, USA

    Matthew Finn

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  1. Matthew Finn
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Correspondence to Matthew Finn.

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Conflict of Interest

Matthew Finn has no conflicts of interest related to this manuscript. Philip Green is supported by a career development grant award, K23 HL12114, from the National Heart, Lung, and Blood Institute.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by the author.

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This article is part of the Topical Collection on Elderly + Heart Disease

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Finn, M., Green, P. The Application of Frailty to the Modern Cardiac Risk Assessment: a Case-Based Review. Curr Cardiovasc Risk Rep 9, 48 (2015). https://doi.org/10.1007/s12170-015-0476-z

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  • DOI: https://doi.org/10.1007/s12170-015-0476-z

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