What is the limit? Between preventive cardiovascular treatment and reverse epidemiology in older adults?

Abstract

In our country, as in the rest of the Western World, there will be a significant increase in people over 60 years, especially those over 80 years of age. As in the rest of the adult population, the main cause of mortality will be cardiovascular disease. For this reason, institutions like WHO focus on this topic and ask us to achieve a “Healthy Ageing”. Thus, we must incorporate into daily practice some particularities such as: Diversity in older age. Fragility-Comorbidity-Disability, different concepts that sometimes converge in the patient. Polymedication. Prevalence of Cardiovascular Disease in elderly people. Presence of gaps in the evidence in these population groups and the so-called Reverse Epidemiology; and social environment. With these concepts in mind, we will review the most common therapeutic decisions in the field of Prevention such as: High Blood Pressure, Dyslipidemia, Diabetes, Smoking, Sedentarism, Cognitive Impairment and Anticoagulation.