Importance of frailty in patients with cardiovascular disease

Abstract

Cardiovascular diseases (CVDs) are the leading cause of morbidity and mortality.With the ageing population, the prognostic determinants among others include frailty, health status, disability, and cognition. These constructs are seldom measured and factored into clinical decision-making or evaluation of the prognosis of these at-risk older adults, especially as it relates to high-risk interventions. Addressing this need effectively requires increased awareness and their recognition by the treating cardiologists, their incorporation into risk prediction models when treating an elderly patient with underlying complexCVD,and timely referral for comprehensive geriatric management. Simple measures such as gait speed, the Fried score, or the RockwoodClinical Frailty Scale can be used to assess frailty as part of routine care of elderly patients withCVD.This reviewexamines the prevalence and outcomes associated with frailty with special emphasis in patients with CVD. © The Author 2014.