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FOCUS on Management of Cardiovascular Disease in the Elderly

Table of contents
In older adults, cardiovascular disease may present in atypical ways, with variations in disease progression influenced by the individual degree of comorbidity and frailty. Enhancing knowledge and confidence in the use of validated tools to assess comorbidity and frailty represents an important opportunity for improving care. In clinical practice, patients with diabetes and other comorbidities are often perceived as being less closely monitored and having lower treatment adherence compared to healthier, more robust adults. This FOCUS highlights specific recommendations to address cardiovascular disease in older patients from relevant ESC Guidelines and clinical consensus statements. Developed with feedback from 58 National Cardiac Societies, two dedicated webinars on existing advice for older adults aim to identify key domains and components of frailty, alongside specialised cardio-geriatric approaches to managing cardiovascular diseases. The webinars also explore the implementation of best clinical practice drawing on the latest evidence from recent trials involving hypertension, antithrombotic, lipid lowering, and cardiometabolic therapies.

Webinars

Management of cardiovascular disease in older adults

Management of cardiovascular disease in older adults: new evidence from recent trials
Webinar
Management of cardiovascular disease in older adults: new evidence from recent trials
16 Jun 2025 - 20:00
Management of cardiovascular disease in older adults: cardiogeriatric assessments and evaluation of frailty
Webinar
Management of cardiovascular disease in older adults: cardiogeriatric assessments and evaluation of frailty
4 Jun 2025 - 20:00

Essentials

ESC Guidelines

2023 ESC Guidelines on Acute Coronary Syndromes - Chapter 12.3.4. Older adults with frailty and multimorbidity

 2023 ESC Guidelines for the management of cardiovascular disease in patients with diabetes - Chapter 12 Person-centred care

 2023 ESC Guidelines for the management of cardiomyopathies - Chapter 7.7. Amyloidosis

 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice - Chapter 6.7 Multimorbidity

 2021 ESC Guidelines on Valvular Disease

 2024 ESC Guidelines for the management of atrial fibrillation - Chapter 5. Comorbidity and risk factor management, Chapter 9.13. AF-CARE in older, multimorbid, or frail patients

 2018 ESC/EACTS Myocardial Revascularization

 2024 ESC guidelines of elevated blood pressure and hypertension

 2024 ESC Guidelines for the Management of Atrial Fibrillation AF-CARE: “C” Comorbidity and risk factor management

 2024 ESC Guidelines for the Management of Peripheral Arterial and Aortic Diseases

 Innovations and future frontiers in aortic, mitral, and tricuspid valve therapies:  Considerations for lifetime management of aortic stenosis

 Heart failure is the stage and amyloid a key player:  Epidemiology of amyloidosis in heart failure and red flags

 Management of dyslipidaemias in the elderly:  how to implement the guidelines and take-home message

 From TAVI over mitral and tricuspid transcatheter interventions to cardiac and non-cardiac surgery: is it useful to assess frailty?

 Is reversal of frailty a good strategy to optimise the clinical outcomes after cardiac interventions?

Dig deeper

Exclusively for members

In practice

Anticoagulation challenges in older subjects with multimorbidity
Webinar
Anticoagulation challenges in older subjects with multimorbidity
25 Jul 2023 - 20:00
What's new in treating acute coronary syndrome: an overview. ESC 2023 Clinical Practice Guidelines - Webinar Series
Webinar
What's new in treating acute coronary syndrome: an overview. ESC 2023 Clinical Practice Guidelines - Webinar Series
8 Nov 2023 - 19:00
Antithrombotic treatment in the elderly
Webinar
Antithrombotic treatment in the elderly
15 Sep 2021 - 20:00
How to manage frailty in patients with cardiovascular disease?
Congress Presentation
How to manage frailty in patients with cardiovascular disease?
1 Sep 2024 - 16:30
How can digital health technology help in the management of frailty?
Congress Presentation
How can digital health technology help in the management of frailty?
28 Aug 2022 - 16:37

Interface with specialists

Management of multivessel disease. ESC 2023 Clinical Practice Guidelines - Webinar Series
Webinar
Management of multivessel disease. ESC 2023 Clinical Practice Guidelines - Webinar Series
15 Nov 2023 - 19:00
Cognition and atrial fibrillation: a neglected association?
Webinar
Cognition and atrial fibrillation: a neglected association?
30 Nov 2021 - 19:00
Identification and management of worsening heart failure
Webinar
Identification and management of worsening heart failure
3 Oct 2023 - 20:00
How to manage cardiovascular risk in patients with chronic kidney disease and type 2 diabetes
Webinar
How to manage cardiovascular risk in patients with chronic kidney disease and type 2 diabetes
13 Nov 2023 - 19:00
Atrial fibrillation, frailty, and stroke prevention: how to navigate this Bermuda Triangle
Webinar
Atrial fibrillation, frailty, and stroke prevention: how to navigate this Bermuda Triangle
13 Jan 2025 - 19:00
Impact of a pneumococcal vaccination incentive campaign
Congress Presentation
Impact of a pneumococcal vaccination incentive campaign
30 Aug 2025 - 16:45
Cardiac disease and cognition: a neurology perspective
Congress Presentation
Cardiac disease and cognition: a neurology perspective
2 Sep 2024 - 13:40
Congress Presentation
Optimisation of medical treatment in patients recently hospitalised for heart failure
15 Jun 2024 - 13:27
Clinical fraily scale is independently associated with one-year mortality in a large cohort of patients with acute heart disease
Congress Presentation
Clinical fraily scale is independently associated with one-year mortality in a large cohort of patients with acute heart disease
31 Aug 2024 - 13:00
Impact of sarcopenia on the clinical course of older patients with peripheral artery disease
Congress Presentation
Impact of sarcopenia on the clinical course of older patients with peripheral artery disease
31 Aug 2024 - 13:37

Pioneers' Viewpoint

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Cardiovascular risk factors in older adults - Video