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June 13, 2020
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Top news in aging and the heart: Benefits of aerobics, BP medication reduction and more

Healio and Cardiology Today have curated a list of the top news in CV health in the elderly.

Readers were most interested in the effect of frailty on transcatheter aortic valve replacement outcomes, the benefits of aerobic fitness, BP control and more.

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Frailty increases bleeding risk after TAVR, surgical AVR

Frailty was linked to postprocedural bleeding in older patients undergoing TAVR or surgical AVR, according to a study published in JACC: Cardiovascular Interventions. Read more

BP-lowering benefits extend to dementia prevention

Patients taking antihypertensive medications had lower risk for incident dementia or cognitive impairment compared with control groups, according to a systematic review and meta-analysis published in JAMA. Read more

Mortality, stroke rates after TAVR do not vary by age at 2 years

At 2 years following TAVR, nonagenarians experienced no greater risk for mortality or stroke than younger patients, despite being at greater surgical risk, researchers reported. Read more

Physical activity, CAC scores improve risk prediction in older patients

Incorporating a question about physical activity with coronary artery calcium scoring improved prediction of clinical and mortality risk in older patients, researchers reported. Read more

Aerobic fitness impact on autonomic BP control varies by age in women

Aerobic exercise may have little or no part in parasympathetic BP control among fit postmenopausal women, according to research published in Hypertension. Read more

In elderly, low BP may confer mortality risk

In older patients, lower BP was associated with elevated risk for all-cause mortality. Additionally, age, not frailty, demonstrated a stronger correlation to mortality in relation to systolic and diastolic BP. Read more

BP control in older patients feasible with medication reduction

Medication reduction in older patients treated with multiple antihypertensive medications was noninferior to usual care regarding the control of systolic BP at 12 weeks, according to data from the OPTIMISE trial published in JAMA. Read more