CARDIOVASCULAR RECOVERY IN ELDERLY PATIENTS
CARDIOVASCULAR RECOVERY IN ELDERLY PATIENTS (Abstract): Cardiac rehabilitation of elderly patients is becoming a growing necessity because, with aging, the prevalence of cardiovascular disease increases. The most vulnerable population, the elderly, might have greater needs for cardiac rehabilitation because the likelihood of being fragile is very high. After hospitalization for such an event as acute coronary syndrome or cardiac decompensation, all patients, but especially the elderly, are at increased risk for destabilization, being eligible for new cardiovascular events that may have a disabling impact on both physical and mental health. The efficacy and safety of cardiac rehabilitation has been also demonstrated in elderly patients with stable coronary artery disease, in those who underwent coronary intervention or in patients with chronic heart failure. Cardiac rehabilitation programs are designed to enhance recovery after an acute cardiovascular event and improve both quality of life and survival by measuring secondary prevention - controlling risk factors, physical activity, diet and optimizing medical treatment. Over the years, all the evidence has shown comparable benefits in elderly and younger patients. Particular attention should also be paid to frail elderly patients who need a personalized intervention. Frailty is defined as a complex of biological markers and clinical characteristics seen in a dynamic position between a healthy status and extremely severe clinical status. Frailty puts many elderly patients at greater risk of health destabilization and first it is necessary to prevent and to treat not only in an “acute” care setting, but also a “post-acute” recovery through home care.
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