Related Experiment Video

Updated: Jan 7, 2026

Left Anterior Descending Coronary Artery Ligation for Ischemia-Reperfusion Research: Model Improvement via Technical Modifications and Quality Control
05:41

Left Anterior Descending Coronary Artery Ligation for Ischemia-Reperfusion Research: Model Improvement via Technical Modifications and Quality Control

Published on: December 16, 2022

4.3K

[Complexities of myocardial revascularization in patients over 75 years with acute coronary syndrome.]

T R Vildanov1,2, N G Lukyanov1,3, K L Kozlov1,3

  • 1Saint-Petersburg Medical and Social Institute, 72A Kondratievsky ave., St. Petersburg 195271, Russian Federation,

Advances in Gerontology = Uspekhi Gerontologii
|January 1, 2026
PubMed

Insights

This review highlights the critical need for geriatric assessments in elderly patients experiencing acute myocardial infarction. It emphasizes tailored revascularization strategies and comprehensive postoperative care for better outcomes.

Area of Science:

  • Cardiology
  • Geriatrics
  • Emergency Medicine

Background:

  • Acute myocardial infarction (AMI) is a primary cause of hospitalization and mortality in the elderly.
  • Managing AMI in older adults presents unique challenges due to comorbidities and geriatric syndromes.

Purpose of the Study:

  • To underscore the significance of comprehensive geriatric evaluations in cardiology.
  • To advocate for balanced approaches in selecting myocardial revascularization methods.
  • To detail optimal postoperative patient management strategies for elderly AMI patients.

Main Methods:

  • Systematic review and analysis of contemporary studies.
  • Literature search conducted across major electronic databases (Web of Science, Scopus, PubMed, Elibrary).

Main Results:

  • Exploration of established surgical strategies for myocardial revascularization.
  • Discussion of therapeutic interventions for postoperative care.
  • Analysis of the influence of geriatric syndromes and COVID-19 on patient prognosis.
  • Identification of clinical and angiographic challenges in managing elderly AMI patients.

Conclusions:

  • A multidisciplinary approach integrating geriatric principles is essential for improving AMI outcomes in the elderly.
  • Personalized revascularization and vigilant postoperative management are crucial.
  • Addressing geriatric-specific factors and emerging threats like COVID-19 is vital for enhanced patient care.

Keywords:
COVID-19coronary artery bypass graftingelderly patientsmyocardial infarctionpercutaneous coronary intervention

More Related Videos

Author Spotlight: Enhancing Coronary Artery Revascularization05:25

Author Spotlight: Enhancing Coronary Artery Revascularization

Published on: September 15, 2023

1.2K
Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery09:12

Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery

Published on: March 27, 2018

9.9K

Related Concept Videos

Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
197
Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
242
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
194
Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
700
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations01:19

Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
324
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
203