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Nicola Veronese - Frailty and Cardiovascular Diseases: Research into an Elderly Population

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Nicola Veronese Frailty and Cardiovascular Diseases: Research into an Elderly Population
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Volume 1216 Advances in Experimental Medicine and Biology Series Editors Wim - photo 1
Volume 1216
Advances in Experimental Medicine and Biology
Series Editors
Wim E. Crusio
CNRS and University of Bordeaux UMR 5287, Institut de Neurosciences Cognitives et Intgratives dAquitaine, Pessac Cedex, France
John D. Lambris
University of Pennsylvania, Philadelphia, PA, USA
Nima Rezaei
Childrens Medical Center Hospital, Tehran University of Medical Sciences, Tehran, Iran

Advances in Experimental Medicine and Biologypresents multidisciplinary and dynamic findings in the broad fields of experimental medicine and biology. The wide variety in topics it presents offers readers multiple perspectives on a variety of disciplines including neuroscience, microbiology, immunology, biochemistry, biomedical engineering and cancer research.

Advances in Experimental Medicine and Biologyhas been publishing exceptional works in the field for over 30 years and is indexed in SCOPUS; Medline (PubMed); Journal Citation Reports/Science Edition; Science Citation Index Expanded (SciSearch) (Web of Science); EMBASE; BIOSIS; Reaxys; EMBiology; Chemical Abstracts Service (CAS); Pathway Studio. The series also provides scientists with up to date information on emerging topics and techniques.

2018 Impact Factor: 2.126.

More information about this series at http://www.springer.com/series/5584

Editor
Nicola Veronese
Frailty and Cardiovascular Diseases
Research into an Elderly Population
Editor Nicola Veronese National Research Council Neuroscience Institute - photo 2
Editor
Nicola Veronese
National Research Council, Neuroscience Institute, Aging Branch, Padova, Italy
ISSN 0065-2598 e-ISSN 2214-8019
Advances in Experimental Medicine and Biology
ISBN 978-3-030-33329-4 e-ISBN 978-3-030-33330-0
https://doi.org/10.1007/978-3-030-33330-0
Springer Nature Switzerland AG 2020
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This Springer imprint is published by the registered company Springer Nature Switzerland AG

The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Preface

Frailty and cardiovascular diseases (CVD) are two common conditions in the elderly, highly affecting clinical outcomes in older people. Epidemiological studies suggest that CVD are among the most relevant contributors in the development of frailty. At the same time, increasing research is showing that frailty can be considered as a potential CVD risk factor, independently from other CVD risk factors. The association between CVD and frailty is probably due to the shared etiological factors, including low-grade inflammation, cellular senescence, and endocrine dysregulation. The early detection of frailty is therefore important in the management of patients with CVD or in people who are at high risk of having CVD, such as frail patients. In this regard, the use of a comprehensive geriatric assessment (CGA) seems to be essential for better taking care of older people with CVD or in those at high risk for developing CVD.

In this book, we will offer to the reader an overview of the current evidence regarding the epidemiology of frailty and CVD and their co-existence in terms of epidemiological research. Moreover, some chapters will be dedicated to exploring the underlying pathophysiology, with a special interest on inflammation and oxidative stress. Finally, the clinical importance of frailty in CVD and vice versa will be discussed. A last part will be dedicated to the treatment of frailty and CVD and the newer topics of interest in this field.

Therefore, this book will offer an up-to-date review on the potential relationship between frailty and CVD, which may represent a novel topic in geriatric medicine. Accordingly, the book will be relevant to a wide range of clinicians. The authorship will include many of the best known and widely published experts in their respective fields.

Nicola Veronese
Contents
Marco Proietti and Matteo Cesari
Finbarr C. Martin and Aisling M. OHalloran
Sabine Rohrmann
Marianna Noale , Federica Limongi and Stefania Maggi
Karolina Piotrowicz and Jerzy Gsowski
Nicola Veronese
Pinar Soysal , Ferhat Arik , Lee Smith , Sarah E. Jackson and Ahmet Turan Isik
Izabella Uchmanowicz
Virginia Boccardi and Patrizia Mecocci
Jacopo Demurtas , Fiona Ecarnot , Simone Cernesi , Marco Solari , Miguel Angel Munoz and Alberto Cella
Samuele Baldasseroni , Alessandra Pratesi , Francesco Orso , Aldo Lo Forte , Anna Chiara Baroncini , Giulia Lucarelli , Camilla Ghiara , Francesca Caramelli , Niccol Marchionni and Andrea Ungar
Natalia Aquaroni Ricci and Ana Izabel Lopes Cunha
Amanda K. Buttery
Timo E. Strandberg and Tuomo Nieminen
Springer Nature Switzerland AG 2020
N. Veronese (ed.) Frailty and Cardiovascular Diseases Advances in Experimental Medicine and Biology 1216 https://doi.org/10.1007/978-3-030-33330-0_1
1. Frailty: What Is It?
Marco Proietti
(1)
Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
(2)
Geriatric Unit, Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico, Milan, Italy
Marco Proietti
Email:
Abstract

Over the past decades, a progressive and exponential aging of the population has been observed. In particular, an absolute e relative increase of old and very old persons is also projected for the next 30 years. This demographic phenomenon is substantially responsible for the growing prevalence of frailty in our societies. Frailty is a clinical condition characterized by an excessive vulnerability of the individual to endogenous and exogenous stressors. This status generates a high risk of developing negative health-related events. Shifting to a construct as frailty to biologically define the perimeter of action for geriatric medicine will probably concur at modernizing the old way of practicing medicine. In this chapter the concept of frailty , its impact on the evolving healthcare systems, the controversies associated with its assessment and, ultimately, the role it plays in the management of older persons are discussed.

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