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[Current Concepts of Cardiologic Therapies in the Elderly].
Deutsche Medizinische Wochenschrift 2018 April
MYOCARDIAL INFARCTION IN THE OLD PATIENT: Even old patients may crucially benefit from reopening the occluded coronary artery by percutaneous coronary intervention with stent implantation. Bleeding complications can be reduced by choosing the radial instead of the femoral vascular approach for cardiac catheterization.
STATINS FOR THE ELDERLY: WHEN TO START UND WHEN TO STOP?: Elderly benefit no less than the younger from statins. "Goal-oriented statin therapy" is preferable to the "statin strategy of fixed dose". In a patient with life expectancy of less than three years, statin therapy is dispensable. MALNUTRITION IN THE OLD AGE - SERIOUSLY UNDERVALUED AND UNDERTREATED: Cachexia, sarcopenia and deficiencies in micronutrients can effectively be met by an individualized nutrition therapy.
TAVI APT FOR PATIENTS WITH INTERMEDIATE SURGICAL RISK, AS WELL: The SURTAVI trial showed TAVI to be a noninferior alternative to surgery in patients with severe aortic stenosis at intermediate surgical risk.
POST-TAVI-ENDOCARDITIS: A NOVEL SYNDROME OF THE AGED PATIENT: Diabetes mellitus and preexisting aortic insufficiency increase the risk. Enterococci and S. aureus trigger every other post-TAVI-endocarditis.
STATINS FOR THE ELDERLY: WHEN TO START UND WHEN TO STOP?: Elderly benefit no less than the younger from statins. "Goal-oriented statin therapy" is preferable to the "statin strategy of fixed dose". In a patient with life expectancy of less than three years, statin therapy is dispensable. MALNUTRITION IN THE OLD AGE - SERIOUSLY UNDERVALUED AND UNDERTREATED: Cachexia, sarcopenia and deficiencies in micronutrients can effectively be met by an individualized nutrition therapy.
TAVI APT FOR PATIENTS WITH INTERMEDIATE SURGICAL RISK, AS WELL: The SURTAVI trial showed TAVI to be a noninferior alternative to surgery in patients with severe aortic stenosis at intermediate surgical risk.
POST-TAVI-ENDOCARDITIS: A NOVEL SYNDROME OF THE AGED PATIENT: Diabetes mellitus and preexisting aortic insufficiency increase the risk. Enterococci and S. aureus trigger every other post-TAVI-endocarditis.
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