Review on the management of cardiovascular risk factors in the elderly
Magali González-Colaço Harmand1
María del Mar García-Sanz2
Antònia Agustí3
Pablo César Prada-Arrondo4
Alberto Domínguez-Rodríguez5
Beatriz Grandal-Leirós6
David Peña-Otero7
Natalia Negrín-Mena8
Jesús Javier López-Hernández9
Pablo Díez-Villanueva10
1.Department of Internal Medicine-Geriatric Medicine,Hospital Universitario Nuestra Se?ora de Candelaria,Santa Cruz de Tenerife,Spain;Universidad Europea de Canarias,Faculty of Health Sciences,La Orotava,Spain2.Clinical Pharmacology Department,Hospital Universitario Marqués de Valdecilla,Santander,Spain3.Clinical Pharmacology Department.Hospital Vall d'Hebron,Barcelona,Spain4.Cardiac Surgery Department,Hospital Universitario de Canarias,La Laguna,Tenerife,Spain5.Universidad Europea de Canarias,Faculty of Health Sciences,La Orotava,Spain;Cardiology Department,Hospital Universitario de Canarias,La Laguna,Tenerife,Spain6.Ortogeriatric Department.Hospital Universitario de Canarias,La Laguna,Tenerife,Spain7.Subdepartment of Health Care,Hospital Universitario Marqués de Valdecilla,Servicio Cántabro de Salud,Santander,Spain;Instituto de Inves-tigación Sanitaria Gregorio Mara?ón(liSGM)y Valdecilla(IDIVAL),Spain8.Hospital Universitario de Canarias,Sis-tema Canario de Salud,Tenerife,Spain9.Primary Care Management,Servicio Cántabro de Salud,Spain10.Cardiology Department,Hospital de la Princesa,Madrid,Spain
摘要：Cardiovascular risk factors (CVRF) are very prevalent in the elderly population and in addition to predisposing to cardiovascular disease they are related to functional decline, which limits the quality of life in this population. The objective of this work is to offer a review of the current evidence in the management of CVRF in the elderly population. The search strategy was executed in PubMed, Clinicalstrials.org and Embase, to search for clinical trials, observational cohort or cross-sectional stud-ies, reviews, and clinical practice guidelines focused or including elderly population. The results provided were refined after reading the title and abstract, as well as elimination of duplicates, and were finally identified and assessed following the GRADE methodology. A total of 136 studies were obtained for all predefined risk factors, such as sedentary lifestyle, smoking, obesity and metabolic syndrome, hypertension, diabetes mellitus, dyslipidemia and alcohol. We described the results of the studies identified and assessed according to their methodological quality in different recommendation sections: diagnostic and prevention, inter-vention, or treatment in the elderly population. As the main limitation to the results of this review, there is the lack of quality studies whose target population is elderly patients. This issue limits the recommendations that can be made in this population. Due to this reason, comprehensive geriatric assessment seems the best tool currently available to implement the most appropri-ate treatment plans based on the baseline situation and comorbidity of each elderly patient.
机标关键词：managementreviewriskcardiovascularelderlyfactors
论文发表日期：2022-11-28
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：34( 894-927 )