Management strategy of non-ST segment elevation acute coronary syndromes in octogenarians: a call for a personalized approach

The rate of octogenarians among patients with non-ST segment elevation acute coronary syndrome (NSTEACS) will continue to increase in the coming years due to population aging. Routine invasive management of NSTEACS has shown long-term benefit in general population but evidence-based recommendations...

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Autores: Martínez Solano, Jorge, Alonso García, Andrés, Álvarez Zaballos, Sara, Martínez Sellés Oliveria Soares, Manuel
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universidad Europea (UEM)
Repositorio:ABACUS. Repositorio de Producción Científica
Idioma:inglés
OAI Identifier:oai:abacus.universidadeuropea.com:11268/11486
Acceso en línea:http://hdl.handle.net/11268/11486
Access Level:acceso abierto
Palabra clave:Infarto del miocardio sin elevación del ST
Síndrome coronario agudo
Anciano
Enfermedad cardiovascular
Tratamiento médico
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spelling Management strategy of non-ST segment elevation acute coronary syndromes in octogenarians: a call for a personalized approachMartínez Solano, JorgeAlonso García, AndrésÁlvarez Zaballos, SaraMartínez Sellés Oliveria Soares, ManuelInfarto del miocardio sin elevación del STSíndrome coronario agudoAncianoEnfermedad cardiovascularTratamiento médicoThe rate of octogenarians among patients with non-ST segment elevation acute coronary syndrome (NSTEACS) will continue to increase in the coming years due to population aging. Routine invasive management of NSTEACS has shown long-term benefit in general population but evidence-based recommendations in this subset of patients remain scarce. The decision-making process in elderly patients should take into account several geriatric factors including frailty, comorbidities, dependency, cognitive impairment, malnutrition, and polymedication. Chronological age is a poor marker of the biological situation in octogenarians and heterogeneity is common. Recent studies support an invasive strategy in most octogenarians. However, observational data suggest that significant comorbidities seem to be related to futility of an invasive approach whereas the risk-benefit balance in frail patients might favor revascularization. Further studies are needed to define a tailored approach in each octogenarian with NSTEACS through a better assessment and quantification of frailty, comorbidities and ischemic risk.20222022-07-1520212021-01-0120212021-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/11268/11486reponame:ABACUS. Repositorio de Producción Científicainstname:Universidad Europea (UEM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 International (CC BY 4.0)https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:abacus.universidadeuropea.com:11268/114862026-06-11T12:41:27Z
dc.title.none.fl_str_mv Management strategy of non-ST segment elevation acute coronary syndromes in octogenarians: a call for a personalized approach
title Management strategy of non-ST segment elevation acute coronary syndromes in octogenarians: a call for a personalized approach
spellingShingle Management strategy of non-ST segment elevation acute coronary syndromes in octogenarians: a call for a personalized approach
Martínez Solano, Jorge
Infarto del miocardio sin elevación del ST
Síndrome coronario agudo
Anciano
Enfermedad cardiovascular
Tratamiento médico
title_short Management strategy of non-ST segment elevation acute coronary syndromes in octogenarians: a call for a personalized approach
title_full Management strategy of non-ST segment elevation acute coronary syndromes in octogenarians: a call for a personalized approach
title_fullStr Management strategy of non-ST segment elevation acute coronary syndromes in octogenarians: a call for a personalized approach
title_full_unstemmed Management strategy of non-ST segment elevation acute coronary syndromes in octogenarians: a call for a personalized approach
title_sort Management strategy of non-ST segment elevation acute coronary syndromes in octogenarians: a call for a personalized approach
dc.creator.none.fl_str_mv Martínez Solano, Jorge
Alonso García, Andrés
Álvarez Zaballos, Sara
Martínez Sellés Oliveria Soares, Manuel
author Martínez Solano, Jorge
author_facet Martínez Solano, Jorge
Alonso García, Andrés
Álvarez Zaballos, Sara
Martínez Sellés Oliveria Soares, Manuel
author_role author
author2 Alonso García, Andrés
Álvarez Zaballos, Sara
Martínez Sellés Oliveria Soares, Manuel
author2_role author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Infarto del miocardio sin elevación del ST
Síndrome coronario agudo
Anciano
Enfermedad cardiovascular
Tratamiento médico
topic Infarto del miocardio sin elevación del ST
Síndrome coronario agudo
Anciano
Enfermedad cardiovascular
Tratamiento médico
description The rate of octogenarians among patients with non-ST segment elevation acute coronary syndrome (NSTEACS) will continue to increase in the coming years due to population aging. Routine invasive management of NSTEACS has shown long-term benefit in general population but evidence-based recommendations in this subset of patients remain scarce. The decision-making process in elderly patients should take into account several geriatric factors including frailty, comorbidities, dependency, cognitive impairment, malnutrition, and polymedication. Chronological age is a poor marker of the biological situation in octogenarians and heterogeneity is common. Recent studies support an invasive strategy in most octogenarians. However, observational data suggest that significant comorbidities seem to be related to futility of an invasive approach whereas the risk-benefit balance in frail patients might favor revascularization. Further studies are needed to define a tailored approach in each octogenarian with NSTEACS through a better assessment and quantification of frailty, comorbidities and ischemic risk.
publishDate 2021
dc.date.none.fl_str_mv 2021
2021-01-01
2021
2021-01-01
2022
2022-07-15
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/11268/11486
url http://hdl.handle.net/11268/11486
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International (CC BY 4.0)
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International (CC BY 4.0)
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:ABACUS. Repositorio de Producción Científica
instname:Universidad Europea (UEM)
instname_str Universidad Europea (UEM)
reponame_str ABACUS. Repositorio de Producción Científica
collection ABACUS. Repositorio de Producción Científica
repository.name.fl_str_mv
repository.mail.fl_str_mv
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