Geriatric Cardiology

Geriatric Cardiology focuses on the evaluation and management of cardiovascular disease in older adults, emphasizing the interplay between aging physiology, multimorbidity, polypharmacy, frailty, and individualized decision-making. As the elderly population grows rapidly, clinicians increasingly search for a specialized cardiology conference to improve outcomes in this complex demographic.

The description explores how aging affects vascular stiffness, myocardial compliance, autonomic tone, diastolic function, and metabolic pathways. Participants will understand how these changes contribute to hypertension, HFpEF, coronary artery disease, arrhythmias, and valvular degeneration. The session highlights atypical presentations—fatigue, confusion, falls—and the difficulty of diagnosing cardiovascular disease in the elderly.

A major component focuses on implementing advanced geriatric cardiology management strategies, including multimorbidity planning, medication reconciliation, fall-risk reduction, assessment of frailty, nutrition optimization, and shared decision-making. The session explains how to choose therapies with an emphasis on quality of life, functional capacity, and patient goals, rather than purely disease-centered metrics.

Participants will explore complexities such as anticoagulation decisions in fall-prone patients, pacemaker or ICD selection in the very elderly, management of HFpEF, treatment of resistant hypertension, and evaluation of cognitive function during care planning. Case-based discussions illustrate how to approach end-of-life cardiac care, deprescribing, and transitions from aggressive intervention to supportive therapy.

Future directions include geriatric-specific risk scores, AI-assisted frailty assessment, remote monitoring, virtual cardiac rehab, and therapies tailored to biological age rather than chronological age.

Core Concepts in Geriatric Cardiology

Aging Physiology and Cardiovascular Impact

  • Understanding vascular stiffness and diastolic decline.
  • Recognizing atypical symptom presentations.

Multimorbidity and Medication Management

  • Balancing treatment goals with polypharmacy risks.
  • Assessing drug interactions and deprescribing needs.

Frailty and Functional Evaluation

  • Measuring frailty markers for outcome prediction.
  • Aligning treatment choices with functional capacity.

Patient-Centered Therapeutic Planning

  • Involving families and caregivers in decisions.
  • Integrating palliative and supportive options when appropriate.

Benefits to Clinical Practice

Better Quality of Life
Therapies emphasize function and independence.

Improved Risk Stratification
Frailty scoring enhances decision accuracy.

Reduced Medication Harm
Deprescribing lowers adverse effects.

Stronger Holistic Care Models
Geriatric principles integrate with cardiology care.

Lower Hospitalization Rates
Comprehensive planning prevents decompensation.

 

More Ethical, Goal-Aligned Care
Treatment supports patient priorities clearly.

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