Cardiovascular diseases, prevention, and management of complications in older adults and frail patients treated for elective or post-traumatic hip orthopaedic interventions: a clinical consensus statement of the ESC Council for Cardiology Practice (CCP), the European Association of Preventive Cardiology (EAPC), the Association for Acute CardioVascular Care (ACVC), the Association of Cardiovascular Nursing & Allied Professions of the ESC (ACNAP), the ESC Working Group on Aorta and Peripheral Vascular Diseases (WG APVD), and the ESC Working Group on Thrombosis (WG T) - Summary - MDSpire

Cardiovascular diseases, prevention, and management of complications in older adults and frail patients treated for elective or post-traumatic hip orthopaedic interventions: a clinical consensus statement of the ESC Council for Cardiology Practice (CCP), the European Association of Preventive Cardiology (EAPC), the Association for Acute CardioVascular Care (ACVC), the Association of Cardiovascular Nursing & Allied Professions of the ESC (ACNAP), the ESC Working Group on Aorta and Peripheral Vascular Diseases (WG APVD), and the ESC Working Group on Thrombosis (WG T)

  • By

  • Luigina Guasti

  • Stefano Fumagalli

  • Jonathan Afilalo

  • Tobias Geisler

  • Ana Abreu

  • Marco Ambrosetti

  • Sofie Gevaert

  • Ruxandra Christodorescu

  • Dimitri Richter

  • Victor Aboyans

  • Lucie Chastaingt

  • Michela Barisone

  • Paolo Severgnini

  • Riccardo Asteggiano

  • Marc Ferrini

  • January 15, 2025

  • 0 min

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Objective:

To provide practical support, including specific assessments and interventions, for preventing cardiovascular complications in older and frail patients undergoing hip procedures.

Key Findings:
  • Cardiovascular diseases and frailty interact synergistically in older adults, increasing vulnerability and complicating recovery.
  • Hip fractures are a significant adverse event leading to disability and mortality in the elderly, necessitating careful management.
  • Syncope and orthostatic hypotension are common in older adults, contributing to falls and fractures, highlighting the need for preventive strategies.
Interpretation:

A multidisciplinary approach is essential for managing cardiovascular risks in older patients undergoing hip surgery, as it can significantly prevent adverse outcomes and preserve independence.

Limitations:
  • The consensus may not cover all individual patient variations, such as specific comorbidities or unique patient circumstances.
  • Implementation of recommendations may vary across healthcare settings, affecting consistency in care.
Conclusion:

Optimizing the hip surgery pathway through a multidisciplinary approach is crucial to prevent health deterioration and loss of independence in older adults.

Original Source(s)

Cardiovascular diseases, prevention, and management of complications in older adults and frail patients treated for elective or post-traumatic hip orthopaedic interventions: a clinical consensus statement of the ESC Council for Cardiology Practice (CCP), the European Association of Preventive Cardiology (EAPC), the Association for Acute CardioVascular Care (ACVC), the Association of Cardiovascular Nursing & Allied Professions of the ESC (ACNAP), the ESC Working Group on Aorta and Peripheral Vascular Diseases (WG APVD), and the ESC Working Group on Thrombosis (WG T)

  • by Luigina Guasti, Stefano Fumagalli, Jonathan Afilalo, Tobias Geisler, Ana Abreu, Marco Ambrosetti, Sofie Gevaert, Ruxandra Christodorescu, Dimitri Richter, Victor Aboyans, Lucie Chastaingt, Michela Barisone, Paolo Severgnini, Riccardo Asteggiano, Marc Ferrini

  • January 15, 2025

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