Rethinking Cardiac Tests in Seniors(Older Adults):
Rethinking Cardiac Tests in Seniors(Older Adults):
Rethinking Cardiac Tests in Older Adults: Balancing Longevity and Independence-Medscape Medical News (Sept 18, 2025)
Key Takeaways: Stress tests in seniors may extend life but reduce independence
1. Case example:
• 80-year-old man underwent stress test → abnormal → cath + CABG.
• Surgery technically successful, but recovery long, with complications, loss of independence.
• Patient valued staying home/independent more than aggressive treatment.
2. Study (JAMA Network Open):
• Many older patients (≥75) reported no discussion with cardiologists about how tests/treatments fit with their age, comorbidities, or life goals.
• Nearly ¾ had multiple chronic conditions.
3. Expert perspective:
• In geriatrics, independence and quality of life often matter more than longevity.
• Physicians should tailor care, avoid “one-size-fits-all,” and engage in shared decision-making.
• Patients want time, multiple visits, and caregiver involvement before major decisions.
4. Role of stress tests in elderly:
• Can help tailor treatment, but not always the best path forward.
5. Key message:
• For many seniors, living well, staying active, and independent is more important than survival extension.
• Stress tests and aggressive treatments should be weighed against patient-centered goals.
