Geriatric MedicineTier 1Topic overview

Cardiac conditions

Framing

  • Cardiac disease in older adults presents with the same core pathologies as in younger patients (atrial fibrillation, heart failure, ischaemic heart disease) but with age-specific modifiers - atypical presentation, higher multimorbidity/polypharmacy burden, and altered risk-benefit calculus for invasive or anticoagulant treatment
  • Frailty and comorbidity, more than chronological age alone, should guide how aggressively cardiac disease is investigated and treated in this population

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