Open AccessNon-ST-segment elevation acute coronary syndrome in elderly patients and long-livers. Features of treatment. Literature review and case report
Author(s) -
R. G. Gulyan,
A. M. Ushanova,
Y. K. Rytova,
Д. В. Певзнер,
Е. В. Меркулов,
S. А. Boytsov
Publication year - 2021
Publication title -
rossijskij kardiologičeskij žurnal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.141
H-Index - 14
eISSN - 2618-7620
pISSN - 1560-4071
DOI - 10.15829/1560-4071-2021-4524
Subject(s) - medicine , acute coronary syndrome , percutaneous coronary intervention , myocardial infarction , cardiology , revascularization , st segment , population , environmental health
Despite the growing population of elderly people and long-livers every year, the treatment of acute coronary syndrome in these groups is not fully developed and is not regulated in clinical guidelines due to the lack of large randomized clinical trials. The article presents a literature review covering the following issues arising during clinical decision-making in the treatment of non-ST-segment elevation acute coronary syndrome in this group of patients: selection of invasive treatment strategy, scope of myocardial revascularization, appointment of dual antiplatelet therapy taking into account the bleeding risk, decreased renal function and senile asthenia. In addition, a case report of successful treatment of a 101-year-old female patient with non-ST-segment elevation myocardial infarction, who underwent percutaneous coronary intervention with stenting of infarct-related artery, was presented.