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Management and risk factor control of coronary artery disease in elderly versus nonelderly: a multicenter registry

Arintaya Phrommintikul1, Rungroj Krittayaphong2, Wanwarang Wongcharoen1

  • 1Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

Journal of Geriatric Cardiology : JGC
|March 22, 2017
PubMed

Insights

Elderly patients with coronary artery disease (CAD) showed equitable treatment and better risk factor goal attainment, except for blood pressure, compared to younger patients. This registry highlights effective management strategies for older adults with CAD.

Area of Science:

  • Cardiology
  • Geriatrics
  • Public Health

Background:

  • Coronary artery disease (CAD) significantly impacts the elderly, with aging being a major risk factor for atherosclerosis and adverse outcomes.
  • Suboptimal control of risk factors in elderly CAD patients may stem from underutilization of guideline-directed therapies.
  • Understanding management disparities and goal attainment is crucial for improving care in this demographic.

Purpose of the Study:

  • To compare the management, risk factor control, and goal attainment of coronary artery disease (CAD) in elderly versus nonelderly patients.
  • To investigate potential inequities in CAD treatment based on age.

Main Methods:

  • Analysis of data from the CORE-Thailand registry, a prospective, multicenter observational study.
  • Comparison of 2172 elderly (≥ 65 years) and 1948 nonelderly (< 65 years) CAD patients.
  • Evaluation of treatment patterns, medication use, and risk factor goal achievement.

Main Results:

  • Elderly CAD patients exhibited higher rates of hypertension, dyslipidemia, atrial fibrillation, and chronic kidney disease.
  • Coronary revascularization rates were similar between elderly and nonelderly groups.
  • Goal attainment for glycemic control, LDL cholesterol, and smoking cessation was higher in the elderly, excluding blood pressure control.

Conclusions:

  • The CORE-Thailand registry indicates equitable treatment for CAD in elderly and nonelderly populations.
  • Elderly CAD patients achieved higher success rates in risk factor control, with the exception of blood pressure targets.
  • Further analysis of this cohort will elucidate the impact of goal attainment on cardiovascular outcomes.
Abstract

Keywords:
AgingCoronary artery diseaseGoal attainmentInequityThe elderly

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