Cardiology

General Geriatric Medicine

Questions discussed in this category

What is your clinical approach to deprescribing vs continuing low-dose aspirin used for primary prevention in older adults who are already taking this medication?

Are there any pearls for strong factors that would push you towards vs away from deprescribing?

1 Answer available

Have you changed your approach to delaying hip surgery in the context of decompensated CHF given the findings of the HIP-ATTACK study?

HIP ATTACK Investigators, PMID 32050090

1 Answer available

Do you recommend transitioning elderly patients from thiazide diuretics to alternative agents when managing hypertension given the increased concern for hyponatremia in this patient population?

2 Answers available

How are you incorporating the newer RCT data suggesting no mortality benefit to indefinite beta-blocker therapy for patients who are several years out from an MI with preserved LVEF and no angina or arrhythmia?

As per the REDUCE-AMI trial. Are you routinely de-prescribing, selectively stopping based on symptoms or risk profile, or still continuing by def...

1 Answer available

Is there a role for routine stress testing in intermediate-high risk CAD patients with a significantly elevated coronary calcium score who are otherwise asymptomatic?

1 Answer available

Do you recommend starting a statin in patients above 75 years old with diabetes but no known ASCVD?

3 Answers available

How do you approach the management of extremely low LDL levels in older adult patients receiving statin therapy for primary prevention of cardiovascular disease?

1 Answer available

What is your systolic blood pressure target for patients over 80 with frailty and multiple comorbidities?

1 Answer available

Papers discussed in this category

N Engl J Med, 2015 Nov 09

A Randomized Trial of Intensive versus Standard Blood-Pressure Control.

Drugs & aging, 2001

Hypertension in the Very Elderly Trial (HYVET): protocol for the main trial.

Circulation research, 2019 Mar 29

Hypertension Management in Older and Frail Older Patients.

Circulation, 2024 Sep 24

2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.

Lancet (London, England), 2020 Feb 09

Accelerated surgery versus standard care in hip fracture (HIP ATTACK): an international, randomised, controlled trial.

The Journal of bone and joint surgery. American volume, 2024 Jul 25

Myocardial Injury in Patients with Hip Fracture: A HIP ATTACK Randomized Trial Substudy.

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