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[Chronic coronary syndrome-Update]

Miroslava Valentová1,2, Torben Lange3,4, Birte Viehmeister5

  • 1Klinik für Geriatrie, Universitätsmedizin Göttingen, Robert-Koch-Str. 42, 37099, Göttingen, Deutschland. miroslava.valentova@med.uni-goettingen.de.

Zeitschrift Fur Gerontologie Und Geriatrie
|July 29, 2025
PubMed

Insights

Coronary artery disease (CAD) encompasses chronic and acute conditions, impacting older adults significantly. Early diagnosis and risk factor management are crucial for improving quality of life and prognosis.

Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Coronary artery disease (CAD) represents a spectrum from chronic (CCS) to acute coronary syndrome (ACS).
  • CAD is a primary cause of mortality in elderly populations.
  • Symptoms like angina, dyspnea, and fatigue significantly diminish patients' quality of life.

Purpose of the Study:

  • To outline the diagnostic and therapeutic strategies for coronary artery disease.
  • To emphasize the importance of risk factor optimization in CAD management.

Main Methods:

  • Basic diagnostics include patient history, physical examination, ECG, lab tests, and echocardiography.
  • Advanced functional tests include stress MRI, stress echocardiography, and myocardial scintigraphy.
  • Direct imaging modalities comprise coronary CT and invasive coronary angiography.

Main Results:

  • Treatment decisions are guided by symptom severity, patient preferences, and procedural risks.
  • Risk factor optimization and antithrombotic/antianginal therapy form the cornerstone of basic treatment for all ages.
  • Revascularization is indicated for patients with refractory symptoms or high-risk profiles.

Conclusions:

  • Comprehensive diagnostic approaches are available for CAD, ranging from basic to advanced imaging techniques.
  • Risk factor management and guideline-directed medical therapy are fundamental for all CAD patients.
  • Revascularization strategies should be carefully considered based on individual patient factors and risk stratification.

Keywords:
AgedAngina pectorisAntianginal therapyCardiac imaging techniquesCoronary artery disease

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