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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

Percutaneous coronary intervention in the elderly.

Kully Sandhu¹, Sunil K Nadar²

¹Royal Stoke Hospital, University Hospitals of North Midlands, Newcastle Road, Stoke on Trent ST46QG, United Kingdom.

International Journal of Cardiology

|August 5, 2015

Summary

Older adults are increasingly experiencing heart conditions like acute coronary syndrome. Percutaneous coronary intervention (PCI) offers significant benefits for this high-risk group, improving prognosis and quality of life.

Keywords:

Acute coronary syndromes Elderly Percutaneous coronary intervention

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Area of Science:

Cardiology
Geriatric Medicine
Interventional Cardiology

Background:

Population demographics show a rising number of octogenarians and older individuals.
This demographic shift leads to an increased incidence of acute coronary syndrome and stable angina in older patients.
Older patients often present with a higher burden of coronary disease and more comorbidities compared to younger populations.

Purpose of the Study:

To review current trials and studies on percutaneous coronary intervention (PCI) in octogenarians.
To highlight the benefits of PCI in older adults, including improved prognosis, symptomatic relief, and quality of life.
To identify future research directions for optimizing PCI in the elderly population.

Main Methods:

Review of retrospective and prospective studies focusing on PCI in octogenarians.
Analysis of existing literature on the outcomes of percutaneous coronary intervention in elderly patients.
Synthesis of data from trials that increasingly include the "real" elderly population.

Main Results:

Octogenarians represent a high-risk group for both elective and emergency PCI procedures.
Despite increased risk, older adults stand to gain the most from PCI in terms of prognosis and quality of life.
Existing studies, though historically excluding this group, now show significant potential benefits.

Conclusions:

Recognizing and risk-stratifying elderly patients who can benefit most from PCI is a critical new frontier.
Future developments should focus on assessing frailty, encouraging early presentation, addressing gender differences, identifying culprit lesions, and minimizing vascular complications.
Percutaneous coronary intervention holds significant promise for improving outcomes and quality of life in the elderly population with coronary artery disease.