Key result
This review discusses the epidemiology, comorbidities, frailty, and management of stable and acute coronary syndromes in older patients undergoing percutaneous coronary intervention.
This expert review highlights the formidable challenges of managing coronary disease in older patients, emphasizing the impact of frailty, comorbidities, and polypharmacy on PCI outcomes.
Challenges in older patients with coronary disease demand frailty- and comorbidity-adjusted care; leaves open optimal strategies for this population.
As many people are living longer, much older patients are now commonly being seen in clinical practice. The management of coronary disease in this group presents formidable challenges. We review the epidemiology of coronary disease in this population and report on the burden of comorbidity, influence of frailty, problems with polypharmacy, interactions and compliance for the older patient. We discuss the management of stable and acute coronary syndromes, the specific anatomical challenges of the older coronary artery, the outcomes of the limited number of trials involving older patients, and review the guidelines available.
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Omar et al. (2016) conducted a review in Coronary disease in older people. Percutaneous Coronary Intervention was evaluated. This review discusses the epidemiology, comorbidities, frailty, and management of stable and acute coronary syndromes in older patients undergoing percutaneous coronary intervention.
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