Submit Manuscript  

Article Details


Primary Prevention of Cardiovascular Risk in Octogenarians by Risk Factors Control

[ Vol. 15 , Issue. 2 ]

Author(s):

Pasquale Palmiero*, Annapaola Zito, Maria Maiello, Annagrazia Cecere, Anna Vittoria Mattioli, Roberto Pedrinelli, Pietro Scicchitano and Marco Matteo Ciccone   Pages 78 - 84 ( 7 )

Abstract:


Primary prevention of cardiovascular events in older adults is a relevant problem, due to lack of evidence for safe and efficacious therapy, its costs and elderly quality of life, Italy’s aging population is constantly increasing, so cardiovascular disease (CVD) primary prevention in the elderly is a prime objective. Life expectancy has dramatically increased over the last 2 decades, the proportion of individuals aged 80 years and older has grown rapidly in Europe and the United States, but cost / effective ratio of CVD prevention through risk factors control is debated. It is therefore important to implement cardiovascular risk factors estimation in the elderly to maximize the quality of life of patients and to lengthen their healthy life expectancy, choosing the better treatment for each patient sharing the choice with himself when it is possible, always remembering that elderly patients often have multiple co-morbidities that require a high number of concurrent medications; this may increase the risk for drug-drug interactions, thereby reducing the potential benefits of CVD prevention therapy. Nevertheless, CVD is not an inevitable concomitant of aging. Sometimes, autopsy in the elderly reveals atheroma-free coronary arteries, a normal-sized heart and unscarred valves. All primary prevention strategy decisions should consider estimated life expectancy and overall function and not just the cardiovascular event risks, magnitude and time to benefit or harm, potentially altered adverse effect profiles, and informed patient preferences. CVD primary prevention needs to be more implemented in the elderly, this might contribute to improve health status and quality of life in this growing population if correctly performed.

Keywords:

Primary prevention, cardiovascular risk, octogenarians, risk factors control, hypertension.

Affiliation:

ASL BRINDISI, Cardiology Equipe, District of Brindisi, Via Dalmazia 3, 72100 Brindisi, Cardiovascular Diseases Section, Department of Emergency and Organ Transplantation (DETO), University of Bari, ASL BRINDISI, Cardiology Equipe, District of Brindisi, Via Dalmazia 3, 72100 Brindisi, Cardiovascular Diseases Section, Department of Emergency and Organ Transplantation (DETO), University of Bari, Department of Surgical, Medical and Dental Department of Morphological Sciences related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Cardiology Department, University of Pisa, Cardiovascular Diseases Section, Department of Emergency and Organ Transplantation (DETO), University of Bari, Cardiovascular Diseases Section, Department of Emergency and Organ Transplantation (DETO), University of Bari



Read Full-Text article