title: Angina pectoris in the elderly.
abstract: 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.
authors.affiliation: Laboratory of Cardiovascular Science, National Institute on Aging, Baltimore, Maryland.
authors.forename: J L
authors.initials: JL
authors.lastname: Fleg
mesh_terms: D000368:Aged; D000787:Angina Pectoris / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D015995:Prevalence; D011379:Prognosis