Cardiology 2013 (Full reference info)
March 9, 2014
Reference Type: Journal Article
Record Number: 772Author: Ford, J., Sears, S. F., Shea, J. B. and Cahill, J.
Title: Cardiology patient page. Coping with trauma and stressful events as a patient with an implantable cardioverter-defibrillator
Date: Jan 29
Short Title: Cardiology patient page. Coping with trauma and stressful events as a patient with an implantable cardioverter-defibrillator
Alternate Journal: Circulation
ISSN: 1524-4539 (Electronic)
Accession Number: 23357666
Keywords: *Adaptation, Psychological
Life Change Events
Quality of Life
Stress Disorders, Post-Traumatic/epidemiology/*psychology
Wounds and Injuries/*psychology
Notes: Ford, Jessica
Sears, Samuel F
Shea, Julie B
Patient Education Handout
Circulation. 2013 Jan 29;127(4):e426-30. doi: 10.1161/CIRCULATIONAHA.112.127563.
Author Address: East Carolina University, Department of Psychology, 215 Rawl Hall, Greenville, NC 27858, USA.
Reference Type: Journal Article
Record Number: 562Author: Forman, D. and Wenger, N. K.
Title: What do the recent American Heart Association/American College of Cardiology Foundation Clinical Practice Guidelines tell us about the evolving management of coronary heart disease in older adults?
Journal: J Geriatr Cardiol
Short Title: What do the recent American Heart Association/American College of Cardiology Foundation Clinical Practice Guidelines tell us about the evolving management of coronary heart disease in older adults?
Alternate Journal: Journal of geriatric cardiology : JGC
ISSN: 1671-5411 (Print)
Accession Number: 23888170
Abstract: Biological aging predisposes older adults to increased cardiovascular disease (CHD) and greater disease complexity. Given the high age-related prevalence of CHD and age-related compounding factors, the recently updated American Heart Association/American College of Cardiology Foundation CHD-related guidelines increased their focus on older patients. These guidelines are predominately evidence-based (using data from quality randomized clinical trials) and are organized to delineate medications and procedures that best treat particular cardiovascular diseases. While such rationale and thought work well in young and middle aged adults, they become problematic in patients who are very old. Data pertaining to adults aged >/= 80 are virtually absent from most randomized clinical trials, and even in the instances when very old patients were included, eligibility criteria typically excluded candidates with co-morbidities and complexities of customary CHD patients. While medications and interventions yielding benefit in clinical trials should theoretically produce the greatest benefits for patients with high intrinsic risk, age-related cardiovascular complexities also increase iatrogenic risks. Navigating between the potential for high benefit and high risk in “evidence-based” cardiovascular management remains a key Geriatric Cardiology challenge. In this review we consider the expanded Geriatric Cardiology content of current guidelines, acknowledging both the progress that has been made, as well as the work that still needs to be accomplished to truly address the patient-centered priorities of older CHD patients.
Notes: Forman, Daniel
Wenger, Nanette K
J Geriatr Cardiol. 2013 Jun;10(2):123-8. doi: 10.3969/j.issn.1671-5411.2013.02.012.
Author Address: Harvard Medical School, Brigham and Women’s Hospital, Boston, MA 02115, USA.