6533b853fe1ef96bd12ac12e

RESEARCH PRODUCT

Acute Coronary Syndrome in the Older Patient

Manuel Martínez-sellésAna AyestaCordero AlbertoAna Gabaldon-perezSergio García-blasClara BonanadPablo Díez-villanuevaAlbert Ariza-soléGemma Mateus-portaMaria Martinez-avialDavid EscribanoVicente Bodi

subject

medicine.medical_specialtyAcute coronary syndromeInfarto del miocardio con elevación del STEnfermedad cardiovascularAncianoReviewCardiologíaMalalties coronàrieselderlyPersones gransacute coronary syndromeCoronary artery diseaseOlder patientsInfarto del miocardio sin elevación del STInternal medicineMedicineSíndrome coronario agudoMyocardial infarctioncardiovascular diseasesEthical issuesbusiness.industryRGeneral Medicinemedicine.diseaseClinical PracticeCoronary heart diseasemyocardial infarctionCardiologyMedicineOlder peoplebusiness

description

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. Instituto de Salud Carlos III (PI20/00637) Fondos Europeos de Desarrollo Regional FEDER (CIBERCV16/11/00486) 4.964 JCR (2021) Q2, 54/172 Medicine, General & Internal 1.040 SJR (2021) Q1, 438/2489 Medicine (miscellaneous) No data IDR 2020 UEM

yearjournalcountryeditionlanguage
2021-09-14Journal of Clinical Medicine
10.3390/jcm10184132https://www.mdpi.com/2077-0383/10/18/4132