[Non-ST-elevation acute coronary syndromes: the problem of the elderly patient].
The elderly population represents a relevant proportion of patients with non-ST-elevation acute coronary syndromes and are at increased risk because of the greater extent of coronary artery disease, a reduction in left ventricular ejection fraction, and associated comorbidities. Results from registries and post-hoc analysis of randomized clinical trials have shown that an early invasive strategy with myocardial revascularization when indicated offers a greater clinical benefit in the elderly that in younger patients despite an increased procedural risk in elderly patients.
Leoncini
Mario
M
Divisione di Cardiologia, Ospedale Misericordia e Dolce, Prato, MI. leoncini.mario@tiscali.it
De Servi
Stefano
S
Badia
Toni
T
Dabizzi
Roberto Piero
RP
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D017023:Coronary Angiography; D004562:Electrocardiography; D005500:Follow-Up Studies; D017052:Hospital Mortality; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D009204:Myocardial Revascularization; D011183:Postoperative Complications; D011788:Quality of Life; D016032:Randomized Controlled Trials as Topic; D012307:Risk Factors; D013318:Stroke Volume; D013997:Time Factors