管理患有心房颤动和多病的老年患者:呼吁采用系统性方法。

IF 1.8 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Colinda van Deutekom, Jeroen M L Hendriks, Marius Myrstad, Isabelle C Van Gelder, Michiel Rienstra
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引用次数: 0

摘要

导言心房颤动(房颤)通常伴有合并症。心房颤动不仅与心血管疾病相关,还与非心血管疾病相关。因此,在房颤患者中,尤其是在老年患者中,多病共存是一种常见现象。多发病与不良预后相关,增加了房颤管理的复杂性,并对医疗费用造成了巨大负担。预计患有多种疾病的老年患者的患病率将显著增加。因此,概述对临床实践的影响并指导全面的多病管理至关重要:这篇观点性文章概述了房颤中的多病症以及综合合并症管理的重要性。文章论述了以国际指南为指导的当前临床实践,以及综合治疗的必要性,包括以患者为中心、心房颤动综合管理、协调的多学科治疗和支持性技术。此外,它还提出了一种新颖的护理模式,采用系统化方法进行多疾病管理:通过多学科团队和患者参与的方式提供综合护理,对于为患有心房颤动和多发病的老年患者提供最佳个性化护理至关重要。系统化的综合护理方法似乎很有前景,但还需要进一步研究,以探讨系统化方法的可行性以及多疾病患者合并症管理的优先次序。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Managing elderly patients with atrial fibrillation and multimorbidity: call for a systematic approach.

Introduction: Atrial fibrillation (AF) is often accompanied by comorbidities. Not only cardiovascular but also non-cardiovascular comorbidities have been associated with AF. Multimorbidity is therefore a common finding in patients with AF, especially in elderly patients. Multimorbidity is associated with adverse outcomes, adds complexity to AF management, and poses a significant burden on healthcare costs. It is expected that the prevalence of elderly patients with multimorbidity will increase significantly. It is therefore crucial to outline implications for clinical practice and guide comprehensive multimorbidity management.

Areas covered: This perspective article outlines multimorbidity in AF and the importance of comprehensive comorbidity management. It addresses current clinical practice guided by international guidelines and the need for integrated care including a patient-centered focus, comprehensive AF management, coordinated multidisciplinary care, and supporting technology. Moreover, it proposes a novel model of care delivery following a systematic approach to multimorbidity management.

Expert opinion: Providing comprehensive care by means of a multidisciplinary team and patient engagement is crucial to provide optimal personalized care for elderly patients with AF and multimorbidity. A systematic integrated care approach seems promising, but further studies are needed to investigate the feasibility of a systematic approach and prioritization of comorbidity management in patients with multimorbidity.

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来源期刊
Expert Review of Cardiovascular Therapy
Expert Review of Cardiovascular Therapy CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.70
自引率
0.00%
发文量
82
期刊介绍: Expert Review of Cardiovascular Therapy (ISSN 1477-9072) provides expert reviews on the clinical applications of new medicines, therapeutic agents and diagnostics in cardiovascular disease. Coverage includes drug therapy, heart disease, vascular disorders, hypertension, cholesterol in cardiovascular disease, heart disease, stroke, heart failure and cardiovascular surgery. The Expert Review format is unique. Each review provides a complete overview of current thinking in a key area of research or clinical practice.
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