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Percutaneous Coronary Intervention or Coronary Artery Bypass Grafting: Intervention in Older Persons with Acute

Brett C Sheridan1, Sally C Stearns, Mark W Massing

  • 1Dr. Sheridan is from the Division of Cardiothoracic Surgery, Department of Surgery, School of Medicine; Dr. Stearns and Ms. D'Arcy are from the Department of Health Policy and Administration, School of Public Health; Dr. Massing is from the Department of Epidemiology, School of Public Health; Dr. Stouffer is from the Division of Cardiology, Department of Medicine, School of Medicine; and Dr. Carey is from Sheps Center for Health Services Research, all at the University of North Carolina at Chapel Hill.

Clinical Geriatrics
|July 8, 2010
PubMed

Insights

This study reviews outcomes for older adults undergoing invasive treatments for acute coronary syndrome. It examines percutaneous coronary interventions and coronary artery bypass grafting in this population.

Area of Science:

  • Geriatrics
  • Cardiology
  • Interventional Cardiology

Background:

  • Acute coronary syndrome (ACS) management in older adults presents unique challenges.
  • Part I of this series discussed age-related utilization of invasive ACS therapies.
  • This article focuses on the outcomes of such treatments in the elderly.

Purpose of the Study:

  • To summarize the existing literature on outcomes of invasive treatments for ACS in older individuals.
  • To provide an evidence-based overview of percutaneous coronary interventions (PCI) and coronary artery bypass grafting (CABG) in elderly ACS patients.

Main Methods:

  • Literature review of studies reporting on ACS outcomes in older populations.
  • Analysis of data concerning percutaneous coronary interventions (PCI) and coronary artery bypass grafting (CABG).

Main Results:

  • Older individuals undergoing PCI or CABG for ACS experience varying outcomes.
  • Outcomes are influenced by factors such as comorbidities, frailty, and specific ACS type.
  • Further research is needed to optimize treatment strategies for this demographic.

Conclusions:

  • Invasive treatments like PCI and CABG can be beneficial for select older adults with ACS.
  • Careful patient selection and risk stratification are crucial for successful outcomes.
  • Geriatric-specific considerations are essential in managing ACS in the elderly.

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