Kardiologische Therapie im Alter aus geriatrischer Sicht

Zusammenfassung

Kardiovaskuläre Erkrankungen, wie Arteriosklerose, arterielle Hypertonie, Herzinsuffizienz oder Vorhofflimmern, haben die höchste Prävalenz im fortgeschrittenen Lebensalter. Als Grundlage für die pharmakologische Therapie dienen jeweils die aktuellen Leitlinien. Allerdings bedarf es aufgrund der Komplexizität und Vulnerabilität geriatrischer Patienten eines individuellen Behandlungsansatzes, welcher sich im Einzelfall von Leitlinien unterscheiden kann. Im folgenden Beitrag werden einige relevante kardiovaskuläre Erkrankungen aus der Perspektive eines geriatrischen Behandlungsansatzes beleuchtet sowie Empfehlungen ausgesprochen.

Abstract

Cardiovascular diseases, like arteriosclerosis, hypertension, heart failure or atrial fibrillation have the highest prevalence among older adults. Pharmacological treatment is based on current guidelines. However, due to the complexity and vulnerability of older adults, there is a high need for an individual treatment approach. Individual recommendations may be different from guidelines. The paper discusses relevant cardiovascular diseases from a geriatric perspective.

Was ist wichtig?

• Geriatrische Patienten erfordern einen individuellen Behandlungsansatz, welcher auf den aktuellen Leitlinien und ergänzenden Hilfsmitteln, wie zum Beispiel der FORTA-Lite, basieren sollte.

• Der überwiegende Teil der pharmakologischen Therapie bei kardiovaskulären Erkrankungen hat einen präventiven Ansatz. Mit fortgeschrittenem Alter sollte der Fokus in der Therapie auf einer Symptomkontrolle liegen. Eine individuelle Risiko-Nutzen-Bewertung ist zwingend zu fordern.

• Die Beurteilung der Funktionalität sollte in der Therapie und der Therapiezielplanung Berücksichtigung finden.

Schlüsselwörter

Geriatrie - ASS - Hypertonie - Herzinsuffizienz - orale Antikoagulation

Key words

older adults - Aspirin - hypertension - heart failure - oral anticoagulation

Publication History

Article published online:
25 May 2020

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