The frail patient with heart disease: please handle with care!

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The frail patient with heart disease: please handle with care!

Derek Hausenloy, MD, PhD, FACC, FESC
Derek Hausenloy, MD, PhD, FACC, FESC
Cardiovascular and Metabolic Disorders Program, Duke-NUS Graduate Medical School, Singapore; National Heart Research Institute Singapore, National Heart Centre Singapore; The Hatter Cardiovascular Institute, Institute of Cardiovascular Science, University College London, UK; National Institute of Health Research University College London Hospitals Biomedical Research Centre, London, UK

  • Improvements in life expectancy in our aging society have resulted in an increased prevalence of frailty in patients with ischemic heart disease (IHD), heart failure (HF), and cardiac valve disease. Frailty, which has been defined as a state of increased vulnerability to external stressors and decreased physiological reserve, has important implications on the management of these conditions in elderly patients – in particular, its’ presence is known to be predictive of worse clinical outcomes. In this issue of Heart and Metabolism, strategies for improving the detection and management of frail patients with cardiovascular disease (CVD) are discussed. (…)
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