{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:17:29Z","timestamp":1790738249913,"version":"4.1.0"},"reference-count":142,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T00:00:00Z","timestamp":1736899200000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Due to the aging population, focusing on healthy aging has become a global priority. Cardiovascular diseases (CVDs) and frailty, characterized by increased vulnerability to adverse stress and health events, interact synergistically in advanced age. In older adults, hip fractures are a frequent dramatic \u2018life-transition\u2019 event. Conditions such as arrhythmias, orthostatic hypotension, heart failure, peripheral artery disease, and adverse drug reactions may facilitate falls and thus bone fractures in older adults. Cardiovascular complications or the worsening of previous CVDs may increase the degree of frailty and disability following this surgery. The close relationship between older age, CVDs, frailty, and orthopaedic surgery leads to the need to focus on the various phases of interventions in a multidisciplinary approach. This document aims to provide practical support to prevent cardiovascular complications in older and frail patients undergoing hip procedures by suggesting specific assessments and interventions. In particular, in pre-operative care, the focus should be on the assessment and management of concomitant CVD and frailty, while immediate peri- and post-operative care should highlight specific concerns for anaesthesia, prevention, and management of thrombotic complications, specific nursing needs, including the prevention of infections and delirium, and the establishment of an integrated rehabilitation program focusing on CVDs and the risk of new falls, with a positive role for care-givers. Furthermore, by optimizing the \u2018hip surgery pathway\u2019 the objective is to help avoid the deterioration of health and loss of independence that often result from this surgery through the correct management of cardiovascular patients in this peculiar context.<\/jats:p>","DOI":"10.1093\/eurjpc\/zwaf010","type":"journal-article","created":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T15:27:03Z","timestamp":1736522823000},"source":"Crossref","is-referenced-by-count":13,"title":["Cardiovascular diseases, prevention, and management of complications in older adults and frail patients treated for elective or post-traumatic hip orthopaedic interventions: a clinical consensus statement of the ESC Council for Cardiology Practice (CCP), the European Association of Preventive Cardiology (EAPC), the Association for Acute CardioVascular Care (ACVC), the Association of Cardiovascular Nursing &amp; Allied Professions of the ESC (ACNAP), the ESC Working Group on Aorta and Peripheral Vascular Diseases (WG APVD), and the ESC Working Group on Thrombosis (WG T)"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4524-4864","authenticated-orcid":false,"given":"Luigina","family":"Guasti","sequence":"first","affiliation":[{"name":"Department of Medicine and Surgery, University of Insubria , Via Guicciardini 5, 21100 Varese ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6950-3875","authenticated-orcid":false,"given":"Stefano","family":"Fumagalli","sequence":"additional","affiliation":[{"name":"Department of Experimental and Clinical Medicine, Geriatric Intensive Care Unit and Geriatric Arrhythmia Unit, University of Florence and AOU Careggi , Florence ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0555-4937","authenticated-orcid":false,"given":"Jonathan","family":"Afilalo","sequence":"additional","affiliation":[{"name":"Division of Experimental Medicine, McGill University, Centre for Clinical Epidemiology, Jewish General Hospital , Montreal, Quebec ,","place":["Canada"]},{"name":"Division of Cardiology, Jewish General Hospital, McGill University , Montreal, Quebec ,","place":["Canada"]},{"name":"Research Institute, McGill University Health Centre , Montreal, Quebec ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Geisler","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology, University Hospital T\u00fcbingen , T\u00fcbingen ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0786-7830","authenticated-orcid":false,"given":"Ana","family":"Abreu","sequence":"additional","affiliation":[{"name":"Cardiology Department, Hospital Santa Maria, Centro Hospitalar Universit\u00e1rio Lisboa Norte, (CHULN), Centro Acad\u00e9mico de Medicina de Lisboa (CAML), Instituto Medicina Preventiva e Sa\u00fade P\u00fablica (IMPSP), Instituto de Sa\u00fade Ambiental (ISAMB)\/Terra, Centro Cardiovascular da Universidade de Lisboa (CCUL), Faculty of Medicine from University of Lisbon (FMUL) , Lisbon ,","place":["Portugal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Ambrosetti","sequence":"additional","affiliation":[{"name":"Department of Prevention and Rehabilitation Sciences, Cardiovascular Rehabilitation Unit, ASST Crema, Rivolta D\u2019Adda Hospital , Crema ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8721-3003","authenticated-orcid":false,"given":"Sofie","family":"Gevaert","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ghent University Hospital , Gent ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruxandra","family":"Christodorescu","sequence":"additional","affiliation":[{"name":"Department V Internal Medicine, Institute of Cardiovascular Diseases Research Center, University of Medicine and Pharmacy V. Babes , Timisoara ,","place":["Romania"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitri","family":"Richter","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Euroclinic Hospital , Athens ,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0322-9818","authenticated-orcid":false,"given":"Victor","family":"Aboyans","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Inserm 1094\/IRD270, Dupuytren University Hospital and Limoges University , Limoges ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucie","family":"Chastaingt","sequence":"additional","affiliation":[{"name":"Department of Vascular Medicine and Vascular Surgery, Dupuytren University Hospital Center , Limoges ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michela","family":"Barisone","sequence":"additional","affiliation":[{"name":"S.C. 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