Summary
Quality improvement in cardiology over the past decade focused on management of acute coronary syndrome with invasive and innovative medical therapies, optimizing treatment of congestive heart failure and the development of repair procedures in valvular heart disease. On the other hand cardiologist and the attendant physicians are confronted with changes in the characteristics of patients in the light of demographic facts. Comorbidity and polypharmacy raise the need for clear concepts. Therapeutic and diagnostic tools of geriatric medicine may help in that context.
Zusammenfassung
Spektakuläre Innovationen prägen das Fachgebiet der Kardiologie im letzten Dezennium. Das Management des akuten Koronarsyndroms mit invasiven und medikamentösen Methoden, die Behandlung der Herzinsuffizienz und die Klappenersatzoperationen wurden zum Wohle der betroffenen Patienten verbessert. Gleichzeitig sind Kardiologen und alle betreuenden Ärzte mit einem Wandel der Patientencharakteristik konfrontiert. Begleiterkrankungen, Multimorbidität und die damit einhergehende Problematik der Polypharmazie erfordern klare Konzepte. Diagnostische und therapeutische Ansätze der geriatrischen Medizin bieten Ansätze zur Optimierung des therapeutischen Vorgehens in dieser Situation.
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Dovjak, P., Sommeregger, U., Otto, R. et al. Polypharmazie in der Kardiologie – ein beachtliches Problem bei Synkopen, QT-Zeit-Verlängerung, Bradykardie und Tachykardie. Wien Med Wochenschr 160, 264–269 (2010). https://doi.org/10.1007/s10354-010-0784-3
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DOI: https://doi.org/10.1007/s10354-010-0784-3