November 1, 2001The American Journal of Geriatric Cardiology
Treatment of Acute Myocardial Infarction
Population
Elderly patients (≥75 years of age) with acute myocardial infarction
Design
Review
Authors
Discussion
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Implication
May support standard AMI therapies in selected elderly patients; leaves open confirmation from dedicated randomized trials.
Structured PICO
P
Population
Elderly patients (≥75 years of age) with acute myocardial infarction
I
Intervention
Early treatment of acute myocardial infarction including aspirin, beta blockers, angiotensin-converting enzyme inhibitors, and reperfusion therapy (thrombolysis and primary angioplasty)
This review emphasizes that despite a lack of dedicated randomized trial data, elderly patients with acute myocardial infarction should generally receive standard evidence-based therapies including reperfusion.
Limitations
- Paucity of data in the very elderly
- Therapeutic recommendations are often extrapolated from studies conducted in younger patients
Cite This Study
Michael W. Rich (2001) studied this question.