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How to determine cardiovascular risk in geriatric patients?

Publication at First Faculty of Medicine |
2021

Abstract

Stratification of cardiovascular (CV) risk in the age category 65-80 years is one of the important challenges of preventive cardiology today. Secondary prevention is not a problem in this regard, but we encounter difficulties in people in primary prevention.

Although we have a number of scoring systems with which we can estimate CV risk, most of them are not suitable for geriatric patients. Recently, works calibrating the standard SCORE risk estimation system have been published for the mentioned age category.

Calculators recommended and validated by the European Association of Preventive Cardiology (EAPC) collected at www.U-prevent.com can also be used to calculate the CV risk of the elderly. The choice of treatment strategies based on risk assessment is not yet as clear-cut as in younger patients.

Therefore, in the elderly populations, the need to individualize the approach applies even more than in other patients.