Open AccessAcute coronary syndrome in the elderly
Author(s) -
Murat Çimci,
Bilgehan Karadağ
Publication year - 2017
Publication title -
türk kardiyoloji derneği arşivi
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.2
H-Index - 24
ISSN - 1016-5169
DOI - 10.5543/tkda.2017.78910
Subject(s) - acute coronary syndrome , medicine , life expectancy , incidence (geometry) , population ageing , intensive care medicine , quality of life (healthcare) , rehabilitation , population , pediatrics , physical therapy , myocardial infarction , physics , nursing , environmental health , optics
The fast population ageing and the delay in the age of presentation of acute coronary syndrome (ACS) is leading to a rapid increase in the proportion of old patients with ACS. Although elderly patients with ACS deserves a specific clinical approach due to aging physiology, increased incidence of comorbidities and different patient expectations, paradoxically this patient population is usually underrepresented in clinical studies. The up-to-date European Society of Cardiology Guidelines on NSTEACS recommends an invasive strategy after taking the consideration of estimated life expectancy, comorbidities, quality of life and patients preferences. A comprehensive follow-up strategy involving cardiac rehabilitation and medical management should be implemented.