Longevity is increasing, and more adults are living to the stage of life when age-related biological factors determine a higher likelihood of cardiovascular disease in a distinctive context of concurrent geriatric conditions. Older adults with cardiovascular disease are frequently admitted to cardiac intensive care units (CICUs), where care is commensurate with high age-related cardiovascular disease risks but where the associated geriatric conditions (including multimorbidity, polypharmacy, cognitive decline and delirium, and frailty) may be inadvertently exacerbated and destabilized. The CICU environment of procedures, new medications, sensory overload, sleep deprivation, prolonged bed rest, malnourishment, and sleep is usually inherently disruptive to older patients regardless of the excellence of cardiovascular disease care. Given these fundamental and broad challenges of patient aging, CICU management priorities and associated decision-making are particularly complex and in need of enhancements. In this American Heart Association statement, we examine age-related risks and describe some of the distinctive dynamics pertinent to older adults and emerging opportunities to enhance CICU care. Relevant assessment tools are discussed, as well as the need for additional clinical research to best advance CICU care for the already dominating and still expanding population of older adults.

中文翻译：

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心脏重症监护病房中的老年人：在管理、预后和护理过程中考虑老年综合征：美国心脏协会的科学声明。

寿命正在增加，越来越多的成年人生活到与年龄相关的生物因素决定在并发老年病的独特背景下患心血管疾病的可能性更高的生命阶段。患有心血管疾病的老年人经常住进心脏重症监护病房 (CICU)，那里的护理与高年龄相关的心血管疾病风险相称，但相关的老年病（包括多种疾病、多种药物、认知能力下降和谵妄以及虚弱）可能在不经意间加剧和不稳定。无论心血管疾病护理是否出色，CICU 环境中的程序、新药物、感觉超负荷、睡眠剥夺、长时间卧床、营养不良和睡眠通常都会对老年患者造成固有的破坏。鉴于患者老龄化的这些基本和广泛的挑战，CICU 管理优先事项和相关决策特别复杂，需要改进。在这份美国心脏协会声明中，我们研究了与年龄相关的风险，并描述了与老年人相关的一些独特动态以及加强 CICU 护理的新兴机会。讨论了相关的评估工具，以及需要进行额外的临床研究，以最好地推进 CICU 护理已经占主导地位且仍在扩大的老年人群。我们研究了与年龄相关的风险，并描述了与老年人相关的一些独特动态以及加强 CICU 护理的新兴机会。讨论了相关的评估工具，以及需要进行额外的临床研究，以最好地推进 CICU 护理已经占主导地位且仍在扩大的老年人群。我们研究了与年龄相关的风险，并描述了与老年人相关的一些独特动态以及加强 CICU 护理的新兴机会。讨论了相关的评估工具，以及需要进行额外的临床研究，以最好地推进 CICU 护理已经占主导地位且仍在扩大的老年人群。