Description
Most of your clinic, least of the evidence
Older patients now make up the majority of most cardiology and general medical clinics, and the smallest share of the trial populations behind the guidelines used to treat them. Every clinician handles that mismatch daily; very few were ever taught how.
These 274 pages are about doing it deliberately rather than by instinct.
Frailty, measured
Frailty predicts outcome better than age and is almost never recorded. The book is practical about which scoring instruments survive a busy clinic and what each result should actually change — which is the question that matters, since a score that changes nothing is not worth the minute it costs.
Presentations that get missed
Infarction without chest pain. Heart failure presenting as confusion or a fall. Aortic stenosis attributed to ageing for two years. Atrial fibrillation discovered after the stroke it should have prevented. Each has a recognisable pattern, and each is missed routinely in exactly the settings where a second opinion is hardest to obtain.
The decisions with no comfortable answer
Anticoagulating when both stroke and bleeding risk are high, which describes much of this population. Deprescribing, structured rather than opportunistic. Revascularisation and valve intervention in the very old, with honest treatment of when TAVI helps and when it extends a decline. Ceilings of care.
Suits
General physicians, geriatricians, family doctors, cardiologists and nursing staff.
PDF, lifetime access, via CardiologyBooks.com.
