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A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
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Acute Coronary Syndrome in the Older Patient

Sergio García-Blas1,2, Alberto Cordero2,3, Pablo Diez-Villanueva4

  • 1Cardiology Department, Hospital Clínico Universitario de Valencia, INCLIVA Biomedical Research Institute, University of Valencia, 46010 Valencia, Spain.

Journal of Clinical Medicine
|September 28, 2021
PubMed

Insights

Managing acute coronary syndromes in older adults presents unique challenges due to age-related differences. This review details the latest diagnostic and treatment strategies for ST-segment elevation myocardial infarction (STEMI) and non-STEMI in this population.

Area of Science:

  • Cardiology
  • Geriatric Medicine

Background:

  • Coronary artery disease (CAD) is a major cause of death, with risk increasing with age.
  • Older patients with CAD have unique characteristics complicating management.
  • Acute coronary syndromes (ACS) require tailored approaches in the elderly.

Purpose of the Study:

  • To review current diagnostic and treatment strategies for ACS in older adults.
  • To highlight age-specific considerations in managing ST-segment elevation myocardial infarction (STEMI) and non-STEMI.
  • To discuss individualized antiplatelet therapy, geriatric assessments, and ethical decision-making.

Main Methods:

  • Literature review of recent studies on ACS in elderly patients.
  • Analysis of guidelines and evidence for STEMI and non-STEMI management.
  • Synthesis of data on antiplatelet therapy, risk stratification, and geriatric care.

Main Results:

  • Specific challenges exist in diagnosing and treating STEMI and non-STEMI in older individuals.
  • Individualized antiplatelet therapy requires balancing ischemic and bleeding risks.
  • Geriatric conditions and ethical considerations are crucial for optimal decision-making.

Conclusions:

  • Optimal ACS management in the elderly necessitates a comprehensive approach.
  • Tailoring treatments to individual patient profiles, including age-related factors, is essential.
  • Further research is needed to refine ACS care for the growing older population.

Keywords:
acute coronary syndromeelderlymyocardial infarction

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