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      Multimorbidity in Older Adults With Cardiovascular Disease

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          Abstract

          <p class="first" id="P2">The demographic of older adults is growing rapidly, a population that is inherently prone to age-related cardiovascular disease (CVD) and to its predictable occurrence in a context of multimorbidity. While multimorbidity can develop at all ages, the number, complexity and diversity of comorbid conditions usually increase with advancing age. Research and clinical care have traditionally been oriented to single disease-specific paradigms, but these approaches adapt poorly to the challenges that arise when CVD occurs with multimorbidity. Concurrently applied guidelines for CVD and comorbid diseases are often contradictory, harmful, and misaligned with patients’ own preferences and goals of care. In this manuscript, emerging concepts regarding CVD combined with multimorbidity are reviewed, including recommendations for incorporating multimorbidity into clinical decision-making, critical knowledge gaps, and research priorities with a goal to optimize care in complex older patients with CVD and multimorbidity. </p>

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          Author and article information

          Journal
          Journal of the American College of Cardiology
          Journal of the American College of Cardiology
          Elsevier BV
          07351097
          May 2018
          May 2018
          : 71
          : 19
          : 2149-2161
          Article
          10.1016/j.jacc.2018.03.022
          6028235
          29747836
          884217ca-4c01-4fe4-9a3a-222d5aff9a94
          © 2018

          http://www.elsevier.com/tdm/userlicense/1.0/

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