Vol. 12. Núm. 62.
Páginas 3659-3669 (Septiembre 2018)

Actualización
Rasgos diferenciales de la patología cardiovascular en el anciano: insuficiencia cardíaca, cardiopatía isquémica y fibrilación auricular

Differential traits of cardiovascular disease in the elderly: heart failure, ischaemic heart disease and atrial fibrillation

R. AyalaaJ. JaramillobM. RamosaS. CachuanbB. GarmendiabM. Quezadaa
Doi : https://10.1016/j.med.2018.09.004
Opciones
Resumen

La prevalencia de enfermedades cardiovasculares aumenta con la edad. Los cambios cardiovasculares propios del envejecimiento y la frecuencia de enfermedades que evolucionan a ellas en este grupo etario explican esta asociación. Es en ese segmento de la población donde resulta más complejo el manejo de los pacientes, debido a dificultades en el diagnóstico, restricción en procedimientos invasivos, escasa representación en ensayos clínicos y mala tolerancia a los tratamientos debido a la alta comorbilidad y a las interacciones en el contexto de polifarmacia.

Palabras clave
Anciano
Insuficiencia cardíaca
Fibrilación auricular
Cardiopatía isquémica
Abstract

The prevalence of cardiovascular disease increases with age. Age-related cardiovascular changes and the frequency of conditions that progress to these diseases in this age group explain this association. Patients in this segment of the population are more difficult to manage due to diagnostic difficulties and restrictions for invasive procedures. These patients are underrepresented in clinical trials and have poor tolerance to treatment because of their many comorbidities and interactions in the context of polypharmacy.

Keywords
Elderly patient
Heart failure
Atrial fibrillation
Ischaemic heart disease

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