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The burden of atherosclerotic cardiovascular disease in an aging population: A comprehensive review of risk factors, risk assessment, and prevention
1
3rd Department of Cardiology, Silesian Centre for Heart Diseases in Zabrze, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland
2
Department of Cardiovascular Disease Prevention, Faculty of Public Health in Bytom, Medical University of Silesia, Katowice, Poland
Corresponding author
Witold Żurański
III Katedra i Klinika Kardiologii, Śląskie Centrum Chorób Serca, ul. Marii Curie-Skłodowskiej 9, 41-800 Zabrze
III Katedra i Klinika Kardiologii, Śląskie Centrum Chorób Serca, ul. Marii Curie-Skłodowskiej 9, 41-800 Zabrze
Ann. Acad. Med. Siles. 2025;79:404-417
KEYWORDS
TOPICS
ABSTRACT
Aging is a key risk factor for atherosclerotic cardiovascular diseases (ASCVDs), leading to high morbidity and mortality among older adults. As the population ages and medical advances prolong survival, more individuals live with ASCVD, necessitating personalized management that addresses complex medical, social, and functional challenges. Besides traditional risk factors, geriatric syndromes and non-cardiovascular comorbidities – commonly referred to as competing risks – significantly impact outcomes. Although assessment tools exist, their clinical use is limited by complexity and patient diversity. Early prevention of geriatric conditions such as frailty, sarcopenia, malnutrition, and multimorbidity is essential to reduce adverse events and cardiovascular risk.
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