Heart problems are of different types. Each one needs to be treated in different ways. The treatment procedures available include simple medications to complex heart surgery. The type of surgery that falls midway between the two procedures is the minimally invasive heart surgery meant for valve repairs and replacements. However, though there are standard procedures for the treatment of heart problems, there are indeed certain factors to consider when you are treating elderly patients. Mr. roberto casula a cardiothoracic surgeon and consultant is actively involved in the research and publications in the field of frailty and cardiac surgery.
About frailty assessment
Surgical treatment for heart problems without a doubt is highly risky. The risks involved include minor risks such as infections, stroke etc to major risks like mortality or death. The increased life expectancy of the population, in general, has resulted in a corresponding increase in the average age of persons who are suffering from cardiovascular diseases that require surgical procedures. But, the problem that a surgeon would face when dealing with such old aged frail patients is that they would be highly vulnerable to minor stressors owing to age-related decline in their physical condition. The reason for the decline include factors such as Apoptosis, senescence, repair, inflammation etc. that is why the American Heart Association has acknowledged the need for frailty assessment to distinguish aged patients who might benefit from intervention and those who might gain little or even be harmed by the aggressive procedures adopted for intervention.
The right consultant
Reaching out to the right consultant like roberto casula who is involved in research and publications related to frailty and cardiac surgery would ensure that the aged patient is given the right advice. If at all intervention is suggested, you can be sure that the surgeon would do all that he should ensure that the risks are minimized and the patient does benefit from the cardiac surgery in a big way.