Tom 12, Nr 6 (2017)
Artykuł przeglądowy
Opublikowany online: 2017-12-29
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Zwiększanie przez zespół kruchości częstości występowania powikłań u pacjentów poddawanych zabiegom kardiologii inwazyjnej i operacjom kardiochirurgicznym
DOI: 10.5603/FC.2017.0106
Folia Cardiologica 2017;12(6):557-564.
Streszczenie
Zespół kruchości (FS) jest powszechnym problemem u osób w podeszłym wieku silnie wpływającym na gorsze rokowanie pacjentów. Mimo coraz większego zainteresowania brakuje wystandaryzowanych metod pozwalających na identyfikację osób z tym zespołem. Choroby układu sercowo-naczyniowego są jednym z dominujących problemów pacjentów w starszym wieku. Dzięki dynamicznemu rozwojowi medycyny niejednokrotnie największe korzyści terapeutyczne u chorych powyżej 65. roku życia można osiągnąć za pomocą zabiegów kardiologii inwazyjnej i kardiochirurgii. Warunkiem takiego postępowania jest odpowiednia stratyfikacja ryzyka związanego z procedurą inwazyjną. Podstawą większości skal stosowanych w kardiologii jest wiek chronologiczny chorego. Diagnostyka w kierunku FS umożliwi określenie wieku biologicznego pacjenta, dlatego stanowi ona cenne uzupełnienie powszechnie stosowanych metod oceny ryzyka zabiegów inwazyjnych u chorych w podeszłym wieku.
W pracy przedstawiono definicję, najczęściej stosowane narzędzia do rozpoznawania FS oraz wnioski z wybranych badań nad kruchością u pacjentów poddawanych zabiegom kardiologii inwazyjnej i operacjom kardiochirurgicznym.
Słowa kluczowe: zespół kruchościpodeszły wiekchoroby układu sercowo-naczyniowegozabiegi kardiologii inwazyjnejoperacje kardiochirurgiczne
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