[Medical treatment of coronary insufficiency in the elderly]

Age does not modify the logical approach of the medical treatment of angina pectoris. Triggering factors have to be searched and treated. Age is not a contra-indication, but the physician has to be familiar with the drugs used in the elderly (side-effects, contra-indications, metabolism, dosages, etc.). The choice based on side-effects and contra-indications favours calcium inhibitors and nitrates. Nevertheless, beta-blocking agents give good results in the elderly, if care is taken to use them correctly. Aspirin is given at reduced dosage. Sublingual nitrates are necessary for the anginal crisis or before stress (prophylaxis). Compliance and safety are favoured by a rational therapy.