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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Detalles Bibliográficos
Autores: 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
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/180445
Acceso en línea:https://hdl.handle.net/2445/180445
Access Level:acceso abierto
Palabra clave:Malalties coronàries
Persones grans
Coronary heart disease
Older people
Descripción
Sumario: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.