The Impact of Geriatric Conditions in Elderly Patients with Coronary Heart Disease: A State-of-the-Art Review.
Gonzalo Luis Alonso SalinasPedro Cepas-GuillénAmaia Martínez LeónCésar Jiménez-MéndezLucía Lozano-VicarioMaría Martínez-AvialPablo Díez-VillanuevaPublished in: Journal of clinical medicine (2024)
The growing geriatric population presenting with coronary artery disease poses a primary challenge for healthcare services. This is a highly heterogeneous population, often underrepresented in studies and clinical trials, with distinctive characteristics that render them particularly vulnerable to standard management/approaches. In this review, we aim to summarize the available evidence on the treatment of acute coronary syndrome in the elderly. Additionally, we contextualize frailty, comorbidity, sarcopenia, and cognitive impairment, common in these patients, within the realm of coronary artery disease, proposing strategies for each case that may assist in therapeutic approaches.
Keyphrases
- coronary artery disease
- healthcare
- acute coronary syndrome
- percutaneous coronary intervention
- clinical trial
- cognitive impairment
- end stage renal disease
- ejection fraction
- newly diagnosed
- primary care
- cardiovascular events
- coronary artery bypass grafting
- prognostic factors
- type diabetes
- heart failure
- skeletal muscle
- mental health
- randomized controlled trial
- cardiovascular disease
- antiplatelet therapy
- aortic stenosis
- study protocol
- affordable care act
- replacement therapy
- phase ii