title: Acute coronary syndrome management in older adults: guidelines, temporal changes and challenges.
abstract: Advancing age is a risk factor for the development of coronary artery disease and is an important indicator of outcome after acute coronary syndrome. As the number of older adults increases, the burden of cardiovascular disease is set to grow particularly as older adults remain disadvantaged in the delivery of acute cardiac care. This article reviews the temporal changes in the provision of guideline recommended therapies for the management of acute coronary syndrome, discusses reasons for age-dependent inequalities in care and the challenges facing clinicians.
authors.affiliation: Department of Cardiology, Mid Yorkshire NHS Trust, Wakefield, West Yorkshire, UK.
authors.forename: Christopher E D
authors.initials: CE
authors.lastname: Saunderson
authors.affiliation: Department of Cardiology, Mid Yorkshire NHS Trust, Wakefield, West Yorkshire, UK Department of Cardiology, York and Hull Medical School, University of York, York, UK.
authors.forename: Richard A
authors.initials: RA
authors.lastname: Brogan
authors.affiliation: Division of Epidemiology and Biostatistics, University of Leeds, Leeds, West Yorkshire, UK.
authors.forename: Alexander D
authors.initials: AD
authors.lastname: Simms
authors.affiliation: Department of Elderly Medicine, St James's University Hospital, Leeds, West Yorkshire, UK.
authors.forename: Graham
authors.initials: G
authors.lastname: Sutton
authors.affiliation: Department of Cardiology, Mid Yorkshire NHS Trust, Wakefield, West Yorkshire, UK.
authors.forename: Phillip D
authors.initials: PD
authors.lastname: Batin
authors.affiliation: Division of Epidemiology and Biostatistics, University of Leeds, Leeds, West Yorkshire, UK.
authors.forename: Christopher P
authors.initials: CP
authors.lastname: Gale
mesh_terms: D054058:Acute Coronary Syndrome / Q000453:epidemiology / Q000628:therapy*; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D019468:Disease Management; D006299:Health Services for the Aged; D006801:Humans; D017410:Practice Guidelines as Topic; D012307:Risk Factors
keywords: acute coronary syndromes; inequalities; older adults; older people; outcomes; temporal changes