In 2014, the Geriatric Cardiology Section (GCS) of the American College of Cardiology (ACC) in collaboration with the American Geriatrics Society (AGS) was awarded a prestigious NIH U13 Collaborative Conference Grant from the National Institute on Aging (NIA) entitled Integration of Geriatrics Principles into the Care of Older Adults with Cardiovascular Disease. This award supports a series of three (3) conferences designed to convene leaders and stakeholders to identify knowledge gaps and to formulate a research agenda in 3 pivotal areas at the intersection of geriatrics and cardiovascular disease (CVD).

The first research conference in the series entitled, ACC/AGS/NIA Workshop on Multimorbidity in Older Adults with CVD, took place at ACC Heart House on February 9-10, 2015 and was attended by over 90 prominent clinicians in cardiology and geriatrics. To view the materials from the first workshop, please click here.

The second research conference, ACC/AGS/NIA Workshop on Pharmacotherapy in Older Adults with CVD, took place at ACC Heart House on February 6-7, 2017. Explore the accordions below to learn more about the 2017 workshop and to view the workshop materials (agenda, slide presentations, and content from the two satellite symposia).

  Pharmacotherapy in Older Adults with CVD Workshop
  Pharmacotherapy in Older Adults with CVD Workshop

ACC/AGS/NIA Workshop on Pharmacotherapy in Older Adults with CVD
ACC Heart House, February 6-7, 2017

The second research conference, ACC/AGS/NIA Workshop on Pharmacotherapy in Older Adults with CVD, took place at ACC Heart House on February 6-7, 2017. Workshop attendees included leaders in cardiology and geriatrics (officers in professional societies, journal editors, clinical trialists, prominent division chiefs) and selected trainees and “rising stars” in geriatric cardiology. Officers from the National Institute on Aging, other NIH institutes (National Heart, Lung and Blood Institute, National Institute of Diabetes and Digestive and Kidney Diseases, and National Institute of Nursing Research), key governmental and policy organizations (Food and Drug Administration, Institute of Medicine, Centers for Medicare and Medicaid Services, Alliance for Academic Internal Medicine, Agency for Healthcare Research and Quality), and other major stake holders (Patient-Centered Outcomes Research Institute and pharmaceutical companies).

Short-term objectives for this conference included:

  • to engage key stakeholders to identify important research gaps that must be addressed in order to optimize care for older adults with CVD in the context of multimorbidity and complex medication regimens, and
  • to formulate multidisciplinary research strategies that will ultimately lead to improved patient-centered care of these patients.

The longer term goal was to incorporate geriatric principles into the care of older adults with or at risk for CVD by developing a more robust evidence base that will enable formulation of guideline and practice recommendations designed to specifically address issues pertinent to the pharmacologic treatment of older adults with CVD. Specific aims of the workshop were to:

  • Review current knowledge regarding the complexities of pharmacotherapy in older adults with CVD
  • Identify knowledge gaps and unmet needs that must be addressed to move the field forward
  • Formulate a prioritized research agenda across the basic, translational, clinical, and population health sciences
  • Promote interdisciplinary strategies integrating stakeholders at all levels to address research needs
  • Promote the career development of junior investigators committed to research careers at the intersections of CVD, geriatrics, and pharmacology through targeted mentorship.
 
  Workshop Overview & Planning Committee
  Workshop Overview & Planning Committee

Background

The pathogenesis and incidence of cardiovascular disease (CVD) are mechanistically linked to aging as well as exposure to conventional CV risk factors. The expanding population of older adults will inevitably be burdened by high prevalence of coronary heart disease, heart failure, valvular heart disease, arrhythmias, peripheral arterial disease, and other CV disease processes. However, caring for older CV patients is often confounded by common geriatric conditions and syndromes (e.g., multimorbidity, cognitive impairment, and frailty) that fundamentally alter the risk: benefit relationship for virtually all diagnostic procedures and therapeutic interventions, including medications proven to be effective in younger, healthier patients. Optimal patient-centered care for the growing population of older adults thus demands that these multiple complex interactions be better delineated and more fully integrated into routine clinical decision-making and drug prescribing for older adults with CVD.

Workshop Planning Committee

Michael W. Rich, MD (Chair), Washington University, St. Louis, MO
Susan P. Bell, MD, Vanderbilt University, Nashville, TN
Daniel E. Forman, MD, University of Pittsburgh, Pittsburgh, PA
John G. Harold, MD, Cedars-Sinai Heart Institute, Los Angeles, CA
Barbara Riegel, PhD, RN, University of Pennsylvania, Philadelphia, PA
Mathew S. Maurer, MD, Columbia University, New York, NY
David B. Reuben, MD, UCLA, Los Angeles, CA
Marcel E. Salive, MD, NIA, Bethesda, MD
Susan J. Zieman, MD, NIA, Bethesda, MD

Workshop Co-chairs

Joseph T. Hanlon, PharmD, University of Pittsburgh, Pittsburgh, PA
Kenneth E. Schmader, MD, Duke University, Durham, NC
Janice B. Schwartz, MD, UCSF, San Francisco, CA

 
  Workshop & Satellite Session Agendas
  Workshop & Satellite Session Agendas

The documents below include links to the slide presentations for each talk. To download the slides, click the session title. Please contact the workshop staff at kbohanno@acc.org, should you require assistance with downloading the slides.

ACC/AGS/NIA Workshop on Pharmacotherapy in Older Adults with CVD
February 6, 2017 from 8:00 a.m. – 5:00 p.m. ET
February 7, 2017 from 8:00 a.m. – Noon ET

Satellite Symposium: Research Regarding Older People in Traditional and Non-traditional Sites – Where, Who & How
February 7, 2017 from 1:00 – 4:00 p.m. ET

Satellite Symposium: Early Career Investigators Session
February 7, 2017 from 1:00 – 4:00 p.m. ET

 
  Workshop & Satellite Session Slides
  Workshop & Satellite Session Slides

The documents below include links to the slide presentations for each talk. To download the slides, click the session title. Please contact the workshop staff at kbohanno@acc.org, should you require assistance with downloading the slides.