Chinese expert consensus on antithrombotic management of high-risk elderly patients with chronic coronary syndrome
Cuntai Zhang1, Xiaoming Wang2,
1Department of Geriatrics, Tongji Hospital, Tongji Medical College Huazhong University of Science & Technology Wuhan China.
Insights
This consensus provides guidance on antithrombotic treatment for elderly patients with high-risk chronic coronary syndrome (CCS), addressing the increasing prevalence and mortality of coronary artery disease (CAD) in China.
Area of Science:
- Cardiology
- Geriatrics
- Internal Medicine
Background:
- Coronary artery disease (CAD) prevalence and mortality are rising in China.
- Chronic coronary syndrome (CCS) significantly impacts elderly patients, causing poor prognosis and substantial burdens.
- High-risk CCS patients face elevated case fatality and mortality rates.
Purpose of the Study:
- To standardize antithrombotic treatment for elderly patients with high-risk CCS.
- To provide clinicians with evidence-based recommendations.
- To address the growing health challenge of CAD in China's aging population.
Main Methods:
- Development of a consensus by domestic experts from the Geriatrics Branch of the Chinese Medical Association.
- Review of published clinical research evidence.
- Consideration of relevant domestic and international guidelines, consensus statements, and expert recommendations.
Main Results:
- The consensus offers standardized antithrombotic treatment strategies.
- Recommendations are tailored for elderly patients with high-risk CCS.
- The document serves as a clinical reference for healthcare providers.
Conclusions:
- Standardized antithrombotic therapy is crucial for improving outcomes in high-risk elderly CCS patients.
- This consensus aims to reduce mortality and enhance the quality of life for this demographic.
- Effective management of CCS is essential for mitigating the economic and disease burden of CAD in China.
Abstract:
The prevalence and mortality of coronary artery disease (CAD) in China are still at an increasing stage. CAD can be classified as acute coronary syndrome (ACS) or chronic coronary syndrome (CCS). CCS is the main manifestation type of elderly patients with CAD, with a large number of patients, long course of disease, and poor prognosis, leading to decreased quality of life and heavy disease burden and economic burden. Especially in patients with high-risk CCS, the case fatality rate and total mortality are high. In order to better standardize the antithrombotic treatment of elderly patients with high-risk CCS, the Geriatrics Branch of the Chinese Medical Association organizes domestic experts to develop this consensus for clinicians' reference based on published clinical research evidence, combined with relevant guidelines, consensus, and expert recommendations in China and abroad.
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