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Acute coronary syndrome management in older adults: guidelines, temporal changes and challenges

Christopher E D Saunderson1, Richard A Brogan2, Alexander D Simms3

  • 1Department of Cardiology, Mid Yorkshire NHS Trust, Wakefield, West Yorkshire, UK.

Age and Ageing
|April 19, 2014
PubMed

Insights

Older adults face disadvantages in acute cardiac care, despite age being a risk factor for coronary artery disease. This review examines age-related inequalities in treatment for acute coronary syndrome and discusses challenges for clinicians.

Area of Science:

  • Cardiology
  • Geriatric Medicine
  • Public Health

Background:

  • Advancing age is a significant risk factor for coronary artery disease (CAD).
  • Older adults have poorer outcomes following acute coronary syndrome (ACS).
  • The growing elderly population will increase the burden of cardiovascular disease.

Purpose of the Study:

  • To review changes in guideline-recommended therapies for acute coronary syndrome (ACS) over time.
  • To discuss age-dependent inequalities in the delivery of acute cardiac care.
  • To identify challenges faced by clinicians in managing ACS in older adults.

Main Methods:

  • Literature review of temporal changes in ACS management.
  • Analysis of age-related disparities in healthcare delivery.
  • Discussion of clinical challenges in geriatric cardiology.

Main Results:

  • Older adults are disadvantaged in receiving timely and appropriate acute cardiac care.
  • Inequalities in care provision for acute coronary syndrome persist across age groups.
  • Clinicians face significant challenges in addressing the needs of elderly patients with ACS.

Conclusions:

  • Addressing age-dependent inequalities in acute cardiac care is crucial.
  • Improved strategies are needed to ensure older adults receive optimal management for acute coronary syndrome.
  • Further research is warranted to overcome challenges in geriatric cardiovascular care.

Keywords:
acute coronary syndromesinequalitiesolder adultsolder peopleoutcomestemporal changes

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