Why the study?
Do older patients (≥70 years) with chest pain selected for coronary angiography have different clinical and angiographic characteristics, and do they derive similar benefit from subsequent management compared to younger patients?
Population
268 patients with chest pain investigated by coronary angiography between 1978 and 1988, comprising 134…
Comparison
Coronary angiography and subsequent management vs Younger patients (aged <70 years)
Design
Cohort
Authors
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Supports selected older patients for angiography and surgery; extends observational data on age-related outcomes but leaves open need for randomized confirmation.
Do older patients (≥70 years) with chest pain selected for coronary angiography have different clinical and angiographic characteristics, and do they derive similar benefit from subsequent management compared to younger patients?
Older patients selected for coronary angiography have more severe disease and higher operative mortality but derive similar symptomatic benefit from coronary surgery as younger patients, suggesting age alone should not preclude investigation.
Elder et al. (1991) studied this question.
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