关注老年心血管疾病中的共病和老年综合征

Focus on comorbidities and geriatric syndromes in senile cardiovascular disease

心血管疾病(CVD)防治技术的进展使CVD的临床转归发生了很大的变化。CVD患者预期寿命的延长,多以慢病的形式影响着老年人群的生活质量和行为。衰老与老年性慢病之间最重要的联系环节目前公认是慢性炎症,慢性炎症促进了CVD中动脉粥样硬化的发病,并且是动脉粥样硬化的重要独立危险因素。患有CVD的老年人常同时患有其他各种慢病,构成了共病,从而导致多重用药。高龄老年CVD患者还常同时伴发老年综合征。这些慢病、共病、多重用药和老年综合征伴发CVD正挑战我们在该领域的常规临床实践。老年CVD的处理应强调整体管理,推荐临床医生应用多维量表将老年疾病的管理纳入临床常规工作,可使CVD合并老年性疾病能得到足够的重视。

Advances in the prevention and treatment of cardiovascular disease(CVD)have greatly changed the clinical outcome of CVD.The prolonged life expectancy of patients with CVD affects the quality of life and behavior of the elderly population in the form of chronic disease.The most important link between aging and senile chronic disease is currently recognized as chronic inflammation,which contributes to the development of atherosclerosis in CVD and is an important independent risk factor for atherosclerosis.Elderly people with CVD often have a variety of other chronic diseases at the same time,constituting comorbidities and resulting in a large number of polypharmacy.Elderly patients with CVD often have concurrent geriatric syndrome.These chronic disease,comorbidities,polypharmacy,and geriatric syndromes with CVD are challenging our routine clinical practice in this area.The comprehensive management should be emphasized in the management of elderly CVD.It is recommended that clinicians incorporate the management of geriatric diseases into clinical routine work with multidimensional scale,so that CVD combined with senile diseases can be given sufficient attention.