Issues with care in the elderly patient presenting with acute ischemia

Shahyar Gharacholou, Karen P. Alexander

Research output: Contribution to journalReview article

4 Citations (Scopus)

Abstract

The issues surrounding care of the elderly patient with acute coronary syndromes (ACS) present significant challenges to clinicians and investigators. The elderly often have atypical symptoms of acute ischemia, have greater medical comorbidities, and are more likely to die from ischemic heart disease. Important differences exist among elderly patients with ACS as compared with their younger counterparts, including age-related changes in physiology, metabolism of drugs, and overall functional status, all of which influence treatment patterns and clinical outcomes. Given the absence of elderly patients in many clinical trials, these high-risk individuals are sometimes managed with more conservative strategies, which at times diverge from accepted guidelines. This review addresses clinically important issues in the care of elderly patients with acute ischemia and highlights recent studies that provide new insight into this complex area of cardiovascular care.

Original languageEnglish (US)
Pages (from-to)51-56
Number of pages6
JournalCurrent Heart Failure Reports
Volume3
Issue number2
DOIs
StatePublished - Jun 1 2006
Externally publishedYes

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Ischemia
Acute Coronary Syndrome
Patient Care
Myocardial Ischemia
Comorbidity
Research Personnel
Clinical Trials
Guidelines
Pharmaceutical Preparations
Therapeutics

ASJC Scopus subject areas

  • Emergency Medicine
  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

Cite this

Issues with care in the elderly patient presenting with acute ischemia. / Gharacholou, Shahyar; Alexander, Karen P.

In: Current Heart Failure Reports, Vol. 3, No. 2, 01.06.2006, p. 51-56.

Research output: Contribution to journalReview article

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