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Geriatric Cardiology: Clinical Advances and Comprehensive Management
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Geriatric Cardiology: Clinical Advances and Comprehensive Management

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Geriatric Medicine".

Deadline for manuscript submissions: 25 June 2026 | Viewed by 1838

Special Issue Editor

Dr. Iris Parrini

E-Mail Website
Guest Editor
Cardiology Department, Ospedale Mauriziano Umberto I, 10128 Turin, Italy
Interests: geriatric cardiology; atrial fibrillation; cardiovascular disease; heart failure; aortic stenosis; acute coronary syndrome
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The population is progressively ageing, and cardiologists are faced with patients with a greater number of comorbidities and “geriatric conditions”, such as cognitive impairment and frailty, which complicate management and influence outcomes. At the same time, technological advances have expanded the treatment options available for these patients. In the context of these changes, geriatric cardiology has recently emerged as a discipline that aims to adapt the principles of geriatric medicine to everyday cardiology practice. Consequently, the tasks of a “geriatric cardiologist” may include both traditional evidence-based management of cardiovascular disease and comprehensive geriatric assessment, medication reduction, team-based care coordination, and explicit integration of patient goals into patient-centred management.

Dr. Iris Parrini
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • geriatric assessment
  • management of cardiovascular disease
  • cardiovascular health
  • geriatric cardiology
  • frailty evaluation and management

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Published Papers (2 papers)

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Research

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15 pages, 496 KB  
Article
Could Malnutrition Be a Potential Parameter for Cardiac Risk Assessment in Older Adults?
by Özge Özgün, Arzu Okyar Baş, Deniz Cengiz, Ceyda Kayabaşı, Aybüke Uyar, Okan Turhan, Arda Nacar, Cansu Çıkın, Murat Pehlivan, Cafer Balcı, Burcu Balam Doğu, Meltem Gülhan Halil, Mustafa Cankurtaran and Mert Eşme
J. Clin. Med. 2026, 15(6), 2135; https://doi.org/10.3390/jcm15062135 - 11 Mar 2026
Viewed by 353
Abstract
Background: Malnutrition is highly prevalent in older adults and is associated with functional decline, systemic inflammation, and increased mortality. However, its prognostic role in relation to major adverse cardiovascular events (MACE), particularly when considered alongside established cardiovascular risk scores, remains insufficiently defined in [...] Read more.
Background: Malnutrition is highly prevalent in older adults and is associated with functional decline, systemic inflammation, and increased mortality. However, its prognostic role in relation to major adverse cardiovascular events (MACE), particularly when considered alongside established cardiovascular risk scores, remains insufficiently defined in geriatric populations. Methods: This retrospective cohort study included 291 adults aged ≥65 years who underwent a comprehensive geriatric assessment at a geriatric outpatient clinic. Nutritional status was evaluated using the Mini Nutritional Assessment—Short Form (MNA-sf). Cardiovascular risk was estimated using the Framingham Risk Score, SCORE2, SCORE2—Older Persons (SCORE2-OP), and LIFE-CVD (version 1). The primary outcome was the occurrence of MACE, and the secondary outcome was all-cause mortality. Multivariable logistic regression and Cox proportional hazards models were used to identify independent predictors of outcomes. Results: During a mean follow-up of 16.9 ± 4.7 months, 43 participants (14.8%) experienced MACE, and 11 (3.8%) died. Malnutrition or risk of malnutrition (MNA-sf < 12), present in 24.1% of participants, was significantly more frequent among those with MACE and those who died. In multivariable analyses, nutritional status remained a consistent independent predictor of both MACE and mortality, whereas commonly used cardiovascular risk scores showed limited or inconsistent associations with outcomes. Conclusions: In older adults, malnutrition assessed by the MNA-sf is a strong and independent predictor of both major adverse cardiovascular events and all-cause mortality, beyond traditional cardiovascular risk scores. These findings underscore the importance of incorporating nutritional status, together with frailty-related parameters, into cardiovascular risk assessment to improve risk stratification in geriatric care. Full article
(This article belongs to the Special Issue Geriatric Cardiology: Clinical Advances and Comprehensive Management)
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Review

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15 pages, 556 KB  
Review
Core Competencies of the Modern Geriatric Cardiologist: A Framework for Comprehensive Cardiovascular Care in Older Adults
by Rémi Esser, Alejandro Mondragon, Marine Larbaneix, Marlène Esteban, Christine Farges, Sophie Nisse Durgeat, Olivier Maurou and Marc Harboun
J. Clin. Med. 2026, 15(2), 749; https://doi.org/10.3390/jcm15020749 - 16 Jan 2026
Cited by 3 | Viewed by 1128
Abstract
Background: The rapid ageing of the cardiovascular population has profoundly transformed clinical practice, with an increasing proportion of patients presenting advanced age, frailty, multimorbidity, and functional vulnerability. Conventional cardiology models, largely derived from younger and selected populations, often fail to adequately address [...] Read more.
Background: The rapid ageing of the cardiovascular population has profoundly transformed clinical practice, with an increasing proportion of patients presenting advanced age, frailty, multimorbidity, and functional vulnerability. Conventional cardiology models, largely derived from younger and selected populations, often fail to adequately address the complexity of cardiovascular care in older adults. Despite the growing development of cardiogeriatrics, the core competencies required for contemporary geriatric cardiology practice remain insufficiently defined. Methods: This narrative review synthesises evidence from cardiology, geriatrics, heart failure, and the palliative care literature, complemented by clinical expertise in integrated cardiogeriatric care pathways, to identify key competencies relevant to the care of older adults with cardiovascular disease. Results: Four major domains of geriatric cardiology competencies were identified: (1) advanced cardiovascular expertise adapted to ageing physiology, frailty, and multimorbidity; (2) integration of comprehensive geriatric assessment into cardiovascular decision-making; (3) a dedicated cardiogeriatric communication mindset supporting shared decision-making under prognostic uncertainty; and (4) system-based competencies focused on multidisciplinary coordination, care transitions, and therapeutic proportionality. Conclusions: Defining the core competencies of the geriatric cardiologist is essential to addressing the clinical and organisational challenges of an ageing cardiovascular population. This framework provides a pragmatic foundation for clinical practice, education, and future research, supporting integrated cardiogeriatric care models aligned with patient-centred outcomes. Full article
(This article belongs to the Special Issue Geriatric Cardiology: Clinical Advances and Comprehensive Management)
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