Acute Coronary Syndrome in the Older Patient

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-o...

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Bibliographic Details
Authors: García Blas, Sergio; Cordero, Alberto; Díez-Villanueva, Pablo; Martinez Avial, Maria; Ayesta, Ana; Ariza Solé, Albert; Mateus Porta, Gemma; Martínez-Sellés, Manuel; Escribano, David; Gabaldón Pérez, Ana; Bodi, Vicente; Bonanad, Clara
Format: Article
Status:Published version
Publication date:2021
Country:España
Institution:Universidad de Barcelona
Repository:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/180445
Online Access:https://hdl.handle.net/2445/180445
Access Level:Open access
Keyword:Malalties coronàries
Persones grans
Coronary heart disease
Older people
Description
Summary: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.