Cardiac Management in the Frail Elderly Patient and the Oldest Old

This book focuses specifically on the management of cardiovascular disease in elderly patients with particular frailties and in the “oldest old”. It is clearly explained how treatment in these patients differs from that in patients in their seventies who

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Andrea Ungar Niccolò Marchionni Editors

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Cardiac Management in the Frail Elderly Patient and the Oldest Old

Andrea Ungar  •  Niccolò Marchionni Editors

Cardiac Management in the Frail Elderly Patient and the Oldest Old

Editors Andrea Ungar

Niccolò Marchionni, MD

Hypertension Centre - Syncope Unit Geriatrics Intensive Care Unit University of Florence and Azienda Ospedaliero-Universitaria Careggi Florence Italy

Professor of Internal Medicine-Geriatrics University of Florence Director, Cardiothoracovascular Department Azienda Ospedaliero-Universitaria Careggi Florence Italy

ISBN 978-3-319-43466-7    ISBN 978-3-319-43468-1 (eBook) DOI 10.1007/978-3-319-43468-1 Library of Congress Control Number: 2016959471 © Springer International Publishing Switzerland 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Foreword

When I was invited to write this foreword, I wondered whether a new book on geriatric cardiology might be useful in the present era of accessible scientific information. I came to a positive conclusion for several reasons: first of all, because of the continuous general population ageing process; in the second place, because the tremendous technological progress in the cardiology field over the last three decades provided new diagnostic and therapeutic tools, potentially helpful for cardiac disease treatment in elderly patients, where this is prevalent; and lastly because the complexity of elder cardiac patients – due to their frailty, comorbidities and disabilities – makes the clinical decision-making process particularly difficult, if we consider that life and end-of-life quality, rather than mere survival, are the outcomes to be reached. Such complexity can be fully captured and efficiently managed only through a comprehensive geri