title: [Management of vascular risk factors in patients older than 80].
abstract: The number of patients older than 80 years is steadily increasing and it represents the main basis for increasing population figures in developed countries. Cardiovascular diseases are the leading causes of mortality and disability causes result in a huge burden of disease in elderly people. However, available scientific evidence to support decision-making on cardiovascular prevention in elderly patients is scarce. Currently available risk assessment scales cannot be applied to elderly people. They are focused on cardiovascular mortality risk and do not provide information on factors with a proven prognostic value in the very old (functioning disability, dementia). Elderly people are a highly heterogeneous population, with a variety of co-morbidities, as well as several functional and cognitive impairment degrees. Furthermore, aging-associated physiological changes and common use of multiple drugs result in an increased risk of adverse drug reactions. Thus, drug use should always be based on a risk/benefit assessment in the elderly. Therefore, therapeutic decision-making in the very old must be an individually tailored and based on an appropriate clinical judgement and a comprehensive geriatric assessment. The current consensus report aims to present a proposal for clinical practices in the primary and secondary cardiovascular prevention in the very old and to provide a number of recommendations on lifestyle changes and drug therapy for the management of major cardiovascular risk factors.
authors.affiliation: Sociedad Española de Medicina Interna (SEMI), España. Electronic address: ricardogomezhuelgas@hotmail.com.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Gómez-Huelgas
authors.affiliation: Sociedad Española de Cardiología (SEC), España.
authors.forename: Manuel
authors.initials: M
authors.lastname: Martínez-Sellés
authors.affiliation: Sociedad Española de Geriatría y Gerontología (SEGG), España.
authors.forename: Francesc
authors.initials: F
authors.lastname: Formiga
authors.affiliation: Sociedad Española de Medicina Familiar y Comunitaria (SEMFYC), España.
authors.forename: José Juan
authors.initials: JJ
authors.lastname: Alemán Sánchez
authors.affiliation: Sociedad Española de Medicina Interna (SEMI), España.
authors.forename: Miguel
authors.initials: M
authors.lastname: Camafort
authors.affiliation: Sociedad Española de Cardiología (SEC), España.
authors.forename: Enrique
authors.initials: E
authors.lastname: Galve
authors.affiliation: Sociedad Española de Geriatría y Gerontología (SEGG), España.
authors.forename: Pedro
authors.initials: P
authors.lastname: Gil
authors.affiliation: Sociedad Española de Medicina Familiar y Comunitaria (SEMFYC), España.
authors.forename: José María
authors.initials: JM
authors.lastname: Lobos
mesh_terms: D000367:Age Factors; D000369:Aged, 80 and over; D002318:Cardiovascular Diseases / Q000517:prevention & control*; D050171:Dyslipidemias / Q000453:epidemiology / Q000517:prevention & control; D015577:Geriatric Assessment; D006801:Humans; D006973:Hypertension / Q000453:epidemiology / Q000517:prevention & control; D008019:Life Style; D017410:Practice Guidelines as Topic; D015995:Prevalence; D011322:Primary Prevention / Q000592:standards*; D018570:Risk Assessment; D012307:Risk Factors; D055502:Secondary Prevention / Q000592:standards*
keywords: Anciano; Elderly; Riesgo de muerte cardiovascular; Riesgo vascular; Risk of cardiovascular mortality; Vascular risk