Acute Coronary Syndrome in the Older Patient.
Sergio Garcia-BlasAlberto Cordero-FortPablo Diez-VillanuevaMaria Martinez-AvialAna AyestaAlbert Ariza-SoléGemma Mateus-PortaManuel Martinez-SellésDavid EscribanoAna Gabaldón-PérezVicente BodiClara BonanadPublished in: Journal of clinical medicine (2021)
Coronary artery disease is one of the leading causes of morbidity and mortality, and its prevalence increases with age. The growing number of older patients and their differential characteristics make its management a challenge in clinical practice. The aim of this review is to summarize the state-of-the-art in diagnosis and treatment of acute coronary syndromes in this subgroup of patients. This comprises peculiarities of ST-segment elevation myocardial infarction (STEMI) management, updated evidence of non-STEMI therapeutic strategies, individualization of antiplatelet treatment (weighting ischemic and hemorrhagic risks), as well as assessment of geriatric conditions and ethical issues in decision making.
Keyphrases
- percutaneous coronary intervention
- st segment elevation myocardial infarction
- acute coronary syndrome
- coronary artery disease
- st elevation myocardial infarction
- antiplatelet therapy
- coronary artery bypass grafting
- decision making
- end stage renal disease
- clinical practice
- ejection fraction
- chronic kidney disease
- risk factors
- peritoneal dialysis
- case report
- prognostic factors
- heart failure
- randomized controlled trial
- type diabetes
- atrial fibrillation
- ischemia reperfusion injury
- patient reported outcomes
- human health
- physical activity
- blood brain barrier
- climate change
- middle aged
- risk assessment
- clinical trial
- brain injury
- patient reported
- phase iii
- study protocol
- replacement therapy