Table 1

Characteristic of older people with cardiovascular diseases

1. Aging is associated with physiological changes in organ body structure and function and in homeostatic mechanisms
• This modifies the pharmacodynamic/pharmacokinetic properties of cardiovascular drugs
2. Vulnerability: greater propensity to get sick
• Many older people present ≥2 chronic medical or psychiatric conditions simultaneously (multimorbidity)
• Produces physical impairment, functional limitation and disability, frailty, impairs the quality of life, and increases sedentary lifestyles
• Geriatric syndromes: cognitive impairment and delirium, falls, pressure ulcers, urinary incontinence, functional decline
3. Polypharmacy: older people use multiple medications (prescriptions, over the counter, alternative/herbal medications, vitamins, and supplements)
• Higher risk of inappropriate polypharmacy: overuse, underuse, misuse, unnecessary, inappropriate, or harmful drugs
• Higher risk of adverse drug reactions and drug–drug and drug–disease interactions
1. Aging is associated with physiological changes in organ body structure and function and in homeostatic mechanisms
• This modifies the pharmacodynamic/pharmacokinetic properties of cardiovascular drugs
2. Vulnerability: greater propensity to get sick
• Many older people present ≥2 chronic medical or psychiatric conditions simultaneously (multimorbidity)
• Produces physical impairment, functional limitation and disability, frailty, impairs the quality of life, and increases sedentary lifestyles
• Geriatric syndromes: cognitive impairment and delirium, falls, pressure ulcers, urinary incontinence, functional decline
3. Polypharmacy: older people use multiple medications (prescriptions, over the counter, alternative/herbal medications, vitamins, and supplements)
• Higher risk of inappropriate polypharmacy: overuse, underuse, misuse, unnecessary, inappropriate, or harmful drugs
• Higher risk of adverse drug reactions and drug–drug and drug–disease interactions
Table 1

Characteristic of older people with cardiovascular diseases

1. Aging is associated with physiological changes in organ body structure and function and in homeostatic mechanisms
• This modifies the pharmacodynamic/pharmacokinetic properties of cardiovascular drugs
2. Vulnerability: greater propensity to get sick
• Many older people present ≥2 chronic medical or psychiatric conditions simultaneously (multimorbidity)
• Produces physical impairment, functional limitation and disability, frailty, impairs the quality of life, and increases sedentary lifestyles
• Geriatric syndromes: cognitive impairment and delirium, falls, pressure ulcers, urinary incontinence, functional decline
3. Polypharmacy: older people use multiple medications (prescriptions, over the counter, alternative/herbal medications, vitamins, and supplements)
• Higher risk of inappropriate polypharmacy: overuse, underuse, misuse, unnecessary, inappropriate, or harmful drugs
• Higher risk of adverse drug reactions and drug–drug and drug–disease interactions
1. Aging is associated with physiological changes in organ body structure and function and in homeostatic mechanisms
• This modifies the pharmacodynamic/pharmacokinetic properties of cardiovascular drugs
2. Vulnerability: greater propensity to get sick
• Many older people present ≥2 chronic medical or psychiatric conditions simultaneously (multimorbidity)
• Produces physical impairment, functional limitation and disability, frailty, impairs the quality of life, and increases sedentary lifestyles
• Geriatric syndromes: cognitive impairment and delirium, falls, pressure ulcers, urinary incontinence, functional decline
3. Polypharmacy: older people use multiple medications (prescriptions, over the counter, alternative/herbal medications, vitamins, and supplements)
• Higher risk of inappropriate polypharmacy: overuse, underuse, misuse, unnecessary, inappropriate, or harmful drugs
• Higher risk of adverse drug reactions and drug–drug and drug–disease interactions
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