A Geriatric Approach to Percutaneous Coronary Interventions in Older Adults, Part II: A JACC: Advances Expert Panel

Michael G. Nanna; Nadia R. Sutton; Ajar Kochar; Jennifer A. Rymer; Angela M. Lowenstern; Grace Gackenbach; Scott L. Hummel; Parag Goyal; Michael W. Rich; James N. Kirkpatrick; Ashok Krishnaswami; Karen P. Alexander; Daniel E. Forman; Anna E. Bortnick; Wayne Batchelor; Abdulla A. Damluji

doi:10.1016/j.jacadv.2023.100421

A Geriatric Approach to Percutaneous Coronary Interventions in Older Adults, Part II: A JACC: Advances Expert Panel

Michael G. Nanna, Nadia R. Sutton, Ajar Kochar, Jennifer A. Rymer, Angela M. Lowenstern, Grace Gackenbach, Scott L. Hummel, Parag Goyal, Michael W. Rich, James N. Kirkpatrick, Ashok Krishnaswami, Karen P. Alexander, Daniel E. Forman, Anna E. Bortnick, Wayne Batchelor, Abdulla A. Damluji

Medicine

Research output: Contribution to journal › Review article › peer-review

5 Scopus citations

Abstract

We review a comprehensive risk assessment approach for percutaneous coronary interventions in older adults and highlight the relevance of geriatric syndromes within that broader perspective to optimize patient-centered outcomes in interventional cardiology practice. Reflecting the influence of geriatric principles in older adults undergoing percutaneous coronary interventions, we propose a “geriatric” heart team to incorporate the expertise of geriatric specialists in addition to the traditional heart team members, facilitate uptake of the geriatric risk assessment into the preprocedural risk assessment, and address ways to mitigate these geriatric risks. We also address goals of care in older adults, highlighting common priorities that can impact shared decision making among older patients, as well as frequently encountered pharmacotherapeutic considerations in the older adult population. Finally, we clarify gaps in current knowledge and describe crucial areas for future investigation.

Original language	English (US)
Article number	100421
Journal	JACC: Advances
Volume	2
Issue number	5
DOIs	https://doi.org/10.1016/j.jacadv.2023.100421
State	Published - Jul 2023

Keywords

acute coronary syndrome
cardiac catheterization
cardiovascular disease
geriatric assessment
multimorbidity
older adults
percutaneous coronary intervention
polypharmacy

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Dentistry (miscellaneous)

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.jacadv.2023.100421

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Nanna, M. G., Sutton, N. R., Kochar, A., Rymer, J. A., Lowenstern, A. M., Gackenbach, G., Hummel, S. L., Goyal, P., Rich, M. W., Kirkpatrick, J. N., Krishnaswami, A., Alexander, K. P., Forman, D. E., Bortnick, A. E., Batchelor, W., & Damluji, A. A. (2023). A Geriatric Approach to Percutaneous Coronary Interventions in Older Adults, Part II: A JACC: Advances Expert Panel. JACC: Advances, 2(5), Article 100421. https://doi.org/10.1016/j.jacadv.2023.100421

Nanna, MG, Sutton, NR, Kochar, A, Rymer, JA, Lowenstern, AM, Gackenbach, G, Hummel, SL, Goyal, P, Rich, MW, Kirkpatrick, JN, Krishnaswami, A, Alexander, KP, Forman, DE, Bortnick, AE, Batchelor, W & Damluji, AA 2023, 'A Geriatric Approach to Percutaneous Coronary Interventions in Older Adults, Part II: A JACC: Advances Expert Panel', JACC: Advances, vol. 2, no. 5, 100421. https://doi.org/10.1016/j.jacadv.2023.100421

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abstract = "We review a comprehensive risk assessment approach for percutaneous coronary interventions in older adults and highlight the relevance of geriatric syndromes within that broader perspective to optimize patient-centered outcomes in interventional cardiology practice. Reflecting the influence of geriatric principles in older adults undergoing percutaneous coronary interventions, we propose a “geriatric” heart team to incorporate the expertise of geriatric specialists in addition to the traditional heart team members, facilitate uptake of the geriatric risk assessment into the preprocedural risk assessment, and address ways to mitigate these geriatric risks. We also address goals of care in older adults, highlighting common priorities that can impact shared decision making among older patients, as well as frequently encountered pharmacotherapeutic considerations in the older adult population. Finally, we clarify gaps in current knowledge and describe crucial areas for future investigation.",

keywords = "acute coronary syndrome, cardiac catheterization, cardiovascular disease, geriatric assessment, multimorbidity, older adults, percutaneous coronary intervention, polypharmacy",

author = "Nanna, {Michael G.} and Sutton, {Nadia R.} and Ajar Kochar and Rymer, {Jennifer A.} and Lowenstern, {Angela M.} and Grace Gackenbach and Hummel, {Scott L.} and Parag Goyal and Rich, {Michael W.} and Kirkpatrick, {James N.} and Ashok Krishnaswami and Alexander, {Karen P.} and Forman, {Daniel E.} and Bortnick, {Anna E.} and Wayne Batchelor and Damluji, {Abdulla A.}",

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year = "2023",

month = jul,

doi = "10.1016/j.jacadv.2023.100421",

language = "English (US)",

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AU - Rymer, Jennifer A.

AU - Lowenstern, Angela M.

AU - Gackenbach, Grace

AU - Hummel, Scott L.

AU - Goyal, Parag

AU - Rich, Michael W.

AU - Kirkpatrick, James N.

AU - Krishnaswami, Ashok

AU - Alexander, Karen P.

AU - Forman, Daniel E.

AU - Bortnick, Anna E.

AU - Batchelor, Wayne

AU - Damluji, Abdulla A.

PY - 2023/7

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N2 - We review a comprehensive risk assessment approach for percutaneous coronary interventions in older adults and highlight the relevance of geriatric syndromes within that broader perspective to optimize patient-centered outcomes in interventional cardiology practice. Reflecting the influence of geriatric principles in older adults undergoing percutaneous coronary interventions, we propose a “geriatric” heart team to incorporate the expertise of geriatric specialists in addition to the traditional heart team members, facilitate uptake of the geriatric risk assessment into the preprocedural risk assessment, and address ways to mitigate these geriatric risks. We also address goals of care in older adults, highlighting common priorities that can impact shared decision making among older patients, as well as frequently encountered pharmacotherapeutic considerations in the older adult population. Finally, we clarify gaps in current knowledge and describe crucial areas for future investigation.

AB - We review a comprehensive risk assessment approach for percutaneous coronary interventions in older adults and highlight the relevance of geriatric syndromes within that broader perspective to optimize patient-centered outcomes in interventional cardiology practice. Reflecting the influence of geriatric principles in older adults undergoing percutaneous coronary interventions, we propose a “geriatric” heart team to incorporate the expertise of geriatric specialists in addition to the traditional heart team members, facilitate uptake of the geriatric risk assessment into the preprocedural risk assessment, and address ways to mitigate these geriatric risks. We also address goals of care in older adults, highlighting common priorities that can impact shared decision making among older patients, as well as frequently encountered pharmacotherapeutic considerations in the older adult population. Finally, we clarify gaps in current knowledge and describe crucial areas for future investigation.

KW - acute coronary syndrome

KW - cardiac catheterization

KW - cardiovascular disease

KW - geriatric assessment

KW - multimorbidity

KW - older adults

KW - percutaneous coronary intervention

KW - polypharmacy

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A Geriatric Approach to Percutaneous Coronary Interventions in Older Adults, Part II: A JACC: Advances Expert Panel

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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