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Importance of risk communication and decision making in cardiovascular conditions in older patients: a discussion paper

St James's University Hospital, Leeds LS9 7TF, UK

Dr N DudleyNigel.Dudley{at}leedsth.nhs.uk Abstract

Atrial fibrillation and aortic stenosis commonly present doctors and patients with difficult decisions about the risks and benefits of treatment options and are both often inappropriately undertreated. Patients may be confused by risk information and doctors may be aware of patients' limitations and use this to manipulate choices to the ones desired by the doctors. This paper examines the importance of risk communication and discusses difficulties that can arise in decision making in these two common cardiovascular conditions.

Key Words: patient preference; risk; informed choice; decision making; patient-caregiver communication; geriatrics

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