Acute Coronary Syndrome in the Older Patient

Overview

Journal J Clin Med

Specialty General Medicine

Date 2021 Sep 28

PMID 34575243

Citations 12

Authors

Sergio Garcia-Blas

Alberto Cordero

Pablo Diez-Villanueva

Maria Martinez-Avial

Ana Ayesta

Albert Ariza-Sole

Gemma Mateus-Porta

Manuel Martinez-Selles

David Escribano

Ana Gabaldon-Perez

Vicente Bodi

Clara Bonanad

Affiliations

Soon will be listed here.

Abstract

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.

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