Angina pectoris in the elderly.
Although the ability to document angina pectoris in the elderly patient may be compromised by atypical symptoms, limited activity levels, and blunted recall, anginal symptoms convey a similar adverse prognosis regardless of age. In general, the therapeutic approach to the older anginal patient should be dictated more by achievement of symptomatic relief than by considerations of long-term survival. No randomized trial exists to guide the decision of medical versus coronary artery bypass surgery versus angioplasty in the older patient with coronary artery disease; symptomatic relief, however, appears greater after revascularization procedures.
Fleg
J L
JL
Laboratory of Cardiovascular Science, National Institute on Aging, Baltimore, Maryland.
D000368:Aged; D000787:Angina Pectoris / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D015995:Prevalence; D011379:Prognosis