Key result
PCI reduces mortality versus conservative management in elderly NSTEMI patients.
Why the study?
Paradigms remain in the management of NSTEMI, primarily because the vast majority of these patients are elderly and senile persons.
This review highlights the paradigms and challenges in managing elderly patients with NSTEMI, focusing on risk factors and treatment strategies.
Supports tailored NSTEMI strategies in elderly patients; leaves open need for prospective validation.
Despite the technological developments in the healthcare industry, cardiovascular disease mortality occupies a leading place among the structure of general mortality of the population. The use of modern treatment methods, especially, percutaneous coronary intervention, provides timely assistance to patients with acute coronary syndrome and helps to reduce mortality frequency. Currently, clear algorithms for the management of patients with ST-segment elevation myocardial infarction have been developed. However, despite it, there are paradigms in the management of patients with non-ST-segment elevation myocardial infarction (NSTEMI). This is primarily due to the fact that the vast majority of patients with NSTEMI are elderly and senile persons. This review article presented the main factors that adversely affect short- and long-term prognosis and results of clinical studies dedicated to the study of this problem.
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Zaynobidinov et al. (2023) conducted a review in Non-ST-segment elevation myocardial infarction (NSTEMI). Percutaneous coronary intervention (PCI) vs. Conservative management was evaluated. Percutaneous coronary intervention provides timely assistance to elderly patients with non-ST-segment elevation myocardial infarction and helps to reduce mortality compared to conservative management.
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