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Related Experiment Videos

Angina pectoris in the elderly.

J L Fleg1

  • 1Laboratory of Cardiovascular Science, National Institute on Aging, Baltimore, Maryland.

Cardiology Clinics
|February 1, 1991
PubMed
Summary
This summary is machine-generated.

Angina symptoms indicate a poor prognosis in elderly patients, similar to younger individuals. Treatment for older adults with angina should prioritize symptom relief over long-term survival concerns.

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Area of Science:

  • Cardiology
  • Geriatric Medicine

Background:

  • Angina pectoris in elderly patients can present with atypical symptoms, limiting accurate diagnosis.
  • Despite diagnostic challenges, anginal symptoms carry a similar adverse prognosis across all age groups.

Purpose of the Study:

  • To evaluate the therapeutic approach for angina in the elderly.
  • To compare the effectiveness of medical management versus revascularization procedures for symptomatic relief in older anginal patients.

Main Methods:

  • This study reviews existing literature and clinical considerations for managing angina in older adults.
  • No randomized trials specifically guide treatment decisions in this population.

Main Results:

  • Anginal symptoms predict a similar poor prognosis in elderly patients compared to younger individuals.

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  • Revascularization procedures (coronary artery bypass surgery or angioplasty) appear to offer greater symptomatic relief than medical management in older patients.

    • Conclusions:

    • Therapeutic strategies for elderly anginal patients should focus on achieving symptomatic relief.
    • While long-term survival data is limited, revascularization may be preferred for symptom control in older adults with coronary artery disease.