ACC/AGS/NIA Multimorbidity in Older Adults with CV Disease Workshop

February 9 – 10, 2015


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Workshop Overview

Statement of Need

The pathogenesis and incidence of cardiovascular disease (CVD) are mechanistically linked to aging as well as exposure to conventional CV risk factors over time. The expanding population of older adults will inevitably be burdened by high prevalence of coronary heart disease, heart failure, valvular heart disease, arrhythmias, peripheral arterial disease, and other CV disease processes. However, caring for older CV patients is often confounded by common geriatric conditions and syndromes (e.g., multimorbidity, polypharmacy, cognitive impairment, and frailty) that fundamentally alter the risk: benefit relationship for virtually all diagnostic procedures and therapeutic interventions. Optimal patient-centered care for the growing population of older adults thus demands that these multiple complex interactions be better delineated and more fully integrated into routine clinical decision-making for older adults with CVD.

This workshop, the first of 3 workshops co-sponsored by the American College of Cardiology (ACC), American Geriatrics Society (AGS), and National Institute on Aging (NIA), will focus on Multimorbidity in Older Adults with Cardiovascular Disease. The primary short-term objectives for this workshop are to engage key stakeholders to identify important research gaps that need to be addressed in order to optimize care for older adults with CVD in the context of multiple chronic condition (MCC), and to formulate multidisciplinary research strategies that will ultimately lead to improved patient-centered care of these complex patients. Longer term goals include the incorporation of geriatrics principles into the care of older adults with or at risk for CVD by developing a more robust evidence base that will enable formulation of guideline recommendations designed to specifically address issues pertinent to older adults with CVD and MCC.

Specific Aims

The Specific Aims of the workshop are to:

  • Review current knowledge regarding the MCC field in general with pertinent examples relevant to CVD
  • Identify knowledge gaps and unmet needs that must be addressed to move the field forward
  • Formulate a prioritized research agenda across the basic, translational, clinical, and population health sciences
  • Promote interdisciplinary strategies integrating stakeholders at all levels to address research needs
  • Promote the career development of junior investigators committed to research careers at the intersection of CV and geriatrics with a focus on MCC through targeted mentorship

Workshop Planning Committee

Michael W. Rich, MD (Chair), Washington University, St. Louis, MO

Susan P. Bell, MD, Vanderbilt University, Nashville, TN

Cynthia M. Boyd, MD, MPH, Johns Hopkins University, Baltimore, MD

Ralph G. Brindis, MD, MPH, UCSF, San Francisco, CA

Daniel E. Forman, MD, University of Pittsburgh, Pittsburgh, PA

Terry Fulmer, PhD, RN, Northeastern University, Boston, MA

Mathew S. Maurer, MD, Columbia University, New York, NY

David B. Reuben, MD, UCLA, Los Angeles, CA

Marcel E. Salive, MD, MPH, NIA, Bethesda, MD

Susan J. Zieman, MD, NIA, Bethesda, MD


Workshop Co-chairs

Cynthia M. Boyd, MD, MPH, Johns Hopkins University, Baltimore, MD

Ralph G. Brindis, MD, MPH, UCSF, San Francisco, CA

Marcel E. Salive, MD, MPH, NIA, Bethesda, MD