title: Cardiac anesthesia and surgery in geriatric patients: epidemiology, current surgical outcomes, and future directions.
abstract: The mean life expectancy of the population of the United States is projected to increase from 78.3 years at present to over 81 years in 2025, with a concomitant increase in the percentage of the population over the age of 75 years. Elderly patients are more likely to present with valvular and coronary artery disease than younger patients, and as better perioperative management contributes to improving post-operative outcomes and lower referral thresholds, very elderly patients form an increasingly large proportion of the cardiac surgical population. This article summarizes the impact of age-related pathophysiologic changes on patients' response to cardiac surgery and anesthesia, outlines useful perioperative strategies in this age group, and reviews the literature on outcomes after valvular and coronary in elderly patients.
authors: Department of Cardiothoracic Surgery Mount Sinai Medical Center New York, NY, United States.
authors: J G
authors: JG
authors: Castillo
authors: G
authors: G
authors: Silvay
authors: J
authors: J
authors: Chikwe
keywords: anesthesia; cardiac anesthesia; elderly; octogenarians; surgery