Challenges in the management of older patients with acute coronary syndromes in the COVID-19 pandemic
Key result
Older ACS patients with COVID-19 face high mortality, supporting conservative management when risks outweigh benefits.
Why the study?
Evidence on the optimal care of older patients with ACS is sparse, lacking robust randomised controlled trials, and COVID-19 escalates mortality risk in older patients with cardiovascular disease.
What are the challenges and management strategies in the care of older patients presenting with ACS in the context of the COVID-19 pandemic?
Population
Older patients presenting with ACS in the context of the COVID-19 pandemic
Design
Review
Authors
Discussion
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Member takes
Implication
May warrant conservative strategies in select older ACS-COVID patients; leaves open need for prospective trials to refine guidance.
Structured PICO
What are the challenges and management strategies in the care of older patients presenting with ACS in the context of the COVID-19 pandemic?
P
Population
Older patients presenting with acute coronary syndromes (ACS) in the context of the COVID-19 pandemic
I
Intervention
Management strategies (invasive vs conservative/palliative approaches)
This review highlights the need to carefully weigh the risks and benefits of invasive versus conservative management for older patients with ACS during the COVID-19 pandemic due to their high mortality risk.
Cite This Study
Rowland et al. (2020) conducted a review in Acute coronary syndromes and COVID-19. Management strategies was evaluated. This review highlights that older patients with acute coronary syndromes and COVID-19 face high mortality risks, suggesting conservative management may be reasonable when risks outweigh benefits.