Frailty is a health condition leading to many adverse clinical outcomes. The relationship between frailty and advanced age, multimorbidity and disability has a significant impact on healthcare systems. Frailty increases cardiovascular (CV) morbidity and mortality both in patients with or without known CV disease. Though the recognition of this additional risk factor has become increasingly clinically relevant in CV diseases, uncertainty remains about operative definitions, screening, assessment, and management of frailty. Since the burdens of frailty components and domains may vary in the various CV diseases and clinical settings, the relevance of specific frailty-related aspects may be different. Understanding these issues may allow general cardiologists a clearer focus on frailty in CV diseases and thereby make more tailored clinical decisions and therapeutic choices in outpatients. Guidance on identification and management of frailty are sparse and an international consensus document on frailty in general cardiology is lacking. Moreover, new options linked with eHealth are going to better define and manage frailty. This consensus document on definition, assessment, clinical implications, and management of frailty provides an input to integrate strategies pre- and post-acute CV events with a comprehensive view including out of hospital, office-based diagnostic and therapeutic choices, and based on a multidisciplinary team approach (general cardiologists, nurses, and general practitioners).

中文翻译：

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心脏病学中的衰弱：定义、评估和对普通心脏病学的临床意义。心脏病学实践委员会 (CCP)、急性心血管护理协会 (ACVC)、心血管护理及相关专业协会 (ACNAP)、欧洲预防心脏病学协会 (EAPC)、欧洲心律协会 (EHRA) 的共识文件、瓣膜性心脏病委员会 (VHD)、高血压委员会 (CHT)、心脏肿瘤委员会 (CCO)、主动脉和外周血管疾病工作组 (WG)、WG 电子心脏病学、WG 血栓形成、欧洲学会心脏病学，欧洲初级保健心脏病学会 (EPCCS)。

虚弱是一种导致许多不良临床结果的健康状况。虚弱与高龄、多种疾病和残疾之间的关系对医疗保健系统具有重大影响。虚弱会增加患有或不患有已知心血管疾病的患者的心血管（CV）发病率和死亡率。尽管对这一额外危险因素的认识在心血管疾病中的临床意义越来越大，但对于衰弱的手术定义、筛查、评估和管理仍然存在不确定性。由于衰弱成分和领域的负担在不同的心血管疾病和临床环境中可能有所不同，因此与衰弱相关的特定方面的相关性可能有所不同。了解这些问题可能会让普通心脏病专家更清楚地关注心血管疾病的虚弱，从而为门诊患者做出更有针对性的临床决策和治疗选择。关于衰弱的识别和管理的指南很少，并且缺乏关于普通心脏病学衰弱的国际共识文件。此外，与电子健康相关的新选项将更好地定义和管理虚弱。这份关于衰弱的定义、评估、临床意义和管理的共识文件提供了整合急性心血管事件前和后策略的输入，具有全面的观点，包括院外、基于办公室的诊断和治疗选择，并基于多学科团队方法（普通心脏病专家、护士和全科医生）。