Acute Coronary Syndrome in the Older Patient.
Por:
Garcia-Blas S, Cordero A, Diez-Villanueva P, Martinez-Avial M, Ayesta A, Ariza-Sole A, Mateus-Porta G, Martinez-Selles M, Escribano D, Gabaldon-Perez A, Bodi V, Bonanad C
Publicada:
14 sep 2021
Ahead of Print:
14 sep 2021
Resumen:
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.
Filiaciones:
Garcia-Blas S:
Ctr Invest Biomed Red Enfermedades Cardiovasc CIB, Madrid 28029, Spain
Univ Valencia, Hosp Clin Univ Valencia, INCLIVA Biomed Res Inst, Cardiol Dept, Valencia 46010, Spain
Cordero A:
Ctr Invest Biomed Red Enfermedades Cardiovasc CIB, Madrid 28029, Spain
Hosp Univ San Juan, Cardiol Dept, Alicante 03550, Spain
Diez-Villanueva P:
Hosp Univ la Princesa, Cardiol Dept, Madrid 28006, Spain
Martinez-Avial M:
Hosp Univ la Princesa, Cardiol Dept, Madrid 28006, Spain
Ayesta A:
Hosp Cent Asturias, Cardiol Dept, Oviedo 33011, Spain
Ariza-Sole A:
Hosp Univ Bellvitge, Cardiol Dept, Barcelona 08907, Spain
Mateus-Porta G:
Hosp Univ Bellvitge, Cardiol Dept, Barcelona 08907, Spain
Martinez-Selles M:
Ctr Invest Biomed Red Enfermedades Cardiovasc CIB, Madrid 28029, Spain
Univ Complutense, Univ Europea, Hosp Univ Gregorio Maranon, Cardiol Dept, Madrid 28007, Spain
Escribano D:
Ctr Invest Biomed Red Enfermedades Cardiovasc CIB, Madrid 28029, Spain
Hosp Univ San Juan, Cardiol Dept, Alicante 03550, Spain
Gabaldon-Perez A:
Univ Valencia, Hosp Clin Univ Valencia, INCLIVA Biomed Res Inst, Cardiol Dept, Valencia 46010, Spain
Bodi V:
Univ Valencia, Hosp Clin Univ Valencia, INCLIVA Biomed Res Inst, Cardiol Dept, Valencia 46010, Spain
Ctr Invest Biomed Red Enfermedades Cardiovasc CIB, Madrid 28029, Spain
Bonanad C:
Univ Valencia, Hosp Clin Univ Valencia, INCLIVA Biomed Res Inst, Cardiol Dept, Valencia 46010, Spain
Green Published, gold
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