Faculty Collaboration Database

Implantable cardiac devices in geriatric patients: a primer for primary and geriatric physicians. Rev Cardiovasc Med 2021 Mar 30;22(1):39-50

Date

04/02/2021

Pubmed ID

33792247

DOI

10.31083/j.rcm.2021.01.222

Scopus ID

2-s2.0-85103745909 (requires institutional sign-in at Scopus site)   2 Citations

Abstract

In the next 20 years, the percentage of people older than 65 years of age in the United States is expected to double. Heart disease is the leading cause of mortality in developed nations, including the United States. Due to the increased incidence of cardiac disease in elderly patients, the need for special treatment considerations, including cardiac devices, may be necessary to reduce morbidity and mortality in this patient population. The purpose of this review is to provide a primer of the common cardiac devices used in the management of cardiac disorders in the geriatric patient population. In order to do this, we have performed a literature review for articles related to cardiac devices published between 2000 and 2020, in addition to reviewing guidelines and recommendations from relevant professional societies. We provide readers with an overview of several cardiac devices including implantable loop recorders, pacemakers, cardiac resynchronization therapy, automated implantable cardiac defibrillators, watchman devices, and ventricular assist devices. Indications, contraindications, clinical trial data, and general considerations in the geriatric population were included. Due to the aging population and increased incidence of cardiac disease, clinicians should be aware of the indications and contraindications of cardiac device therapy in the management of various cardiac conditions that afflict the geriatric population.

Author List

Wani F, Amir R, Aljadah M, Albosta M, Guidi JC, Singh J, Kanjwal K, Kichloo A

Author

Michael M. Aljadah MD Instructor in the Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Aged
Aging
Cardiac Resynchronization Therapy
Cardiac Resynchronization Therapy Devices
Defibrillators, Implantable
Heart-Assist Devices
Humans
Physicians