[Comorbidity in elderly patients with acute coronary syndrome.]

The article presents an analysis of comorbidity in the studied groups with acute coronary syndrome (ACS). The main group included 70 senile patients (75-90 years old) with ACS, the control group included elderly and middle-aged patients (45-74 years old) with ACS. The category of elderly patients is characterized, on the one hand, by the polymorbidity of pathological conditions with specific manifestations of each of them, mainly the chronic course of existing diseases, and, on the other hand, by the complexity of diagnosis and selection of drug therapy. The high prevalence of cardiovascular pathology and its frequent pathogenetic relationship with various comorbid diseases and conditions pose a serious problem for any clinician, since he needs to take into account several components of therapy, which makes it difficult to monitor the effectiveness of treatment, increases the likelihood of local and systemic side effects of drugs, and reduces adherence to therapy.