Symposium 14: Prevention and management of cardiovascular disease in old age and frailty
Tracks
Track 6
| Wednesday, July 15, 2026 |
| 11:15 AM - 1:15 PM |
Details
This symposium, led by the Geriatric Committee of the IUPHAR Clinical and Translational Section, highlights international, interdisciplinary innovations in the prevention and management of a wide range of cardiovascular diseases in older people, including those who are frail.
Prof Petrovic (clinical pharmacologist/geriatrician, Belgium), will discuss potentially inappropriate prescribing and adverse outcomes in older people with AF and multimorbidity from H2020 AFFIRMO trial. Dr Goyal (EMCR cardiologist, USA) will cover research and innovation to optimise medication regimens in older adults with heart failure, including deprescribing and N-of-1 trials. Prof Lindley (geriatrician/stroke physician, Australia), will highlight evidence-practice gaps in prevention and management of stroke in older people living with frailty. Dr Hopper (EMCR clinical pharmacologist, Australia) will provide insights from ASPREE and STAREE on prevention of cardiovascular disease in older people. Dr Nguyen (EMCR geriatrician/cardiologist, Vietnam/Australia) will describe the prevalence, management and outcomes of cardiovascular disease in Vietnam: the influence of frailty.
Speaker
Prof Cynthia Boyd
Department of Medicine, Johns Hopkins University
Presenter
Biography
Dr. Cynthia Boyd is the Mason F. Lord Professor of Medicine at the Johns Hopkins University School of Medicine. Dr. Boyd is the Director, Division of Geriatric Medicine and Gerontology. She holds a joint appointment in Health Policy and Management and Epidemiology at the Johns Hopkins Bloomberg School of Public Health. Dr. Boyd is a faculty member at the Center for Transformative Geriatric Research, Johns Hopkins Center on Aging and Health and the Roger and Flo Lipitz Center to Advance Policy in Aging and Disability.
A former Robert Wood Johnson Physician Faculty Scholar and a Beeson Scholar, Dr. Boyd is trained in internal medicine, geriatric medicine and epidemiology. Dr. Boyd’s career has focused on improving the health and well-being of older adults with multiple chronic conditions, with robust research and mentoring programs that have helped launch the careers of multiple junior faculty, fellows, medical students and other learners. Dr. Boyd is MPI of the NIA-funded US Deprescribing Research Network, has studied the inappropriate use of medications where harm may outweigh benefits, and has extensive experience leading and evaluating interventions to improve health for older adults.
She earned her M.D. from the Duke University School of Medicine and her M.P.H. from the University of North Carolina at Chapel Hill. She completed her residency at Johns Hopkins Hospital and performed a fellowship in geriatric medicine at Johns Hopkins Bayview Medical Center. Dr. Boyd currently practices primary care and consultative geriatric care for older adults in Baltimore.
Dr. Boyd has been recognized with several honors, including the American Geriatric Society’s Outstanding Scientific Achievement for Clinical Investigation Award, election to the American Society for Clinical Investigation, and Fellowship in the American College of Physicians and the American Geriatric Society. Her research has been funded by the NIH, AHRQ, PCORI, and foundations.
Dr Parag Goyal
Associate Professor
Weill Cornell Medicine
Research and Innovation to Optimise Medication Regimens in Older Adults with Heart Failure
Biography
Dr. Goyal is a heart failure cardiologist and health services researcher with formal training in epidemiology and implementation science. He has a faculty appointment as an Associate Professor of Medicine at Weill Cornell Medicine. He is particularly interested in improving outcomes and the wellbeing of older adults with heart failure. Towards this end, he is the Founding Director of the Heart Failure with Preserved Ejection Fraction (HFpEF) Program and Director of the Cardiac Amyloidosis Program at Weill Cornell Medicine. These programs anchor Dr. Goyal’s Program for the Care and Study of the Aging Heart, which is a geriatric cardiology program that seeks to advance the science of cardiovascular aging and age-related cardiovascular conditions by developing, studying, and implementing innovative patient-centered approaches to cardiovascular care. Over the years, Dr. Goyal has published >250 peer-reviewed manuscripts, leading studies published in high-impact journals including the New England Journal of Medicine. Dr. Goyal studies polypharmacy in heart failure, and has been working to advance deprescribing efforts within the cardiovascular field. This includes leveraging N-of-1 trials to promote shared decision making and deprescribing. His work has been supported by extensive extramural funding which includes multiple grants from the National Institute on Aging (R03, K76, R21, R01x3), the American Heart Association (Innovative Project Award and Career Development Award), and multiple foundations.
Prof Richard Lindley
The University of Sydney
Prevention and management of stroke in older people living with frailty: Evidence practice gaps
Biography
Richard Lindley is Professor of Geriatric Medicine, University of Sydney, and currently the Director of the NHMRC Centre of Research Excellence for Stroke Trial Innovation and Translation.
Assoc Prof Ingrid Hopper
Monash University
Prevention of cardiovascular disease in older people: insights from the ASPREE and STAREE trials
Biography
A/Prof Ingrid Hopper is a specialist physician with training in clinical pharmacology, epidemiology and public health. She completed her PhD and post-doctoral research fellowship at Monash University School of Public Health and Preventive Medicine in Melbourne, Australia. She is currently an Associate Professor at the School of Public Health and Preventive Medicine at Monash University, and a consultant physician at the Alfred Hospital in Melbourne. She is an executive committee member of STAREE, and principal investigator on the STAREE-HEART study investigating whether statins prevent heart failure and atrial fibrillation in healthy elders, an ancillary study of the STAtins in Reducing Events in the Elderly (STAREE) study. Her research interests include cardiovascular therapeutics, heart failure and atrial fibrillation, healthy ageing and models of care.
Dr Tu Nguyen
Research Fellow
The George Institute For Global Health
Sex differences in the impact of frailty on health outcomes in older adults with cardiometabolic disease: observational studies in Vietnam
Biography
Dr Tu Nguyen (MD PhD FESC FACC) is a physician with postgraduate training in geriatrics and cardiovascular medicine in Vietnam. She obtained a PhD in Cardiovascular Pharmacology/Epidemiology from the University of Sydney, Australia. She currently hold appointments as a Research Fellow at the George Institute for Global Health in Australia, Leadership Team Member of the Sydney Health Partners Geriatric Medicine Clinical Academic Group, and Adjunct Senior Lecturer at Sydney School Public Health. She is also Co-Lead of the Frailty and Cardiovascular Disease Research Theme at the Department of Geriatrics and Gerontology, University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam. She serves as an Associate Editor for the Australasian Journal on Ageing, and as an Associate Editor for the European Journal of Preventive Cardiology.
She has a research passion in geriatric cardiology, frailty and multimorbidity. Her work in frailty and cardiovascular disease has been cited by the 2016 ESC Guidelines for the Management of Atrial Fibrillation, the 2022 ADA/EASD Consensus Report on the Management of Hyperglycaemia in Type 2 Diabetes, the 2022 ESC Consensus Document on Frailty in Cardiology, and the 2023 EHRA Expert Consensus Document on the Management of Arrhythmias in Frailty Syndrome.
Session chair
Parag Goyal
Associate Professor
Weill Cornell Medicine
Sarah Hilmer
Royal North Shore Hospital & The University of Sydney