Document Detail


Optimal revascularization strategies for ST-segment elevation myocardial infarction in the elderly patient.
MedLine Citation:
PMID:  17786059     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Patients older than 75 years account for >60% of all deaths from acute myocardial infarction. Although there are accepted guidelines for treatment of acute ST-segment elevation myocardial infarction, elderly patients tend to have a variety of conditions that can complicate decisions about the best therapy. Many elderly patients do not receive potentially lifesaving treatments, such as percutaneous coronary intervention or thrombolytic therapy, for fear of an adverse event. Those who do receive appropriate revascularization therapy often receive it later in the course of the infarct, when irreversible damage has occurred. Yet studies show that patients older than 75 years will benefit substantially from these therapies. Early treatment improves outcomes in this population, as in younger patients, despite a higher risk of complications. In this review, the evidence regarding medical and revascularization therapies in ST-segment elevation myocardial infarction is critically examined.
Authors:
Lloyd W Klein
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The American journal of geriatric cardiology     Volume:  16     ISSN:  1076-7460     ISO Abbreviation:  Am J Geriatr Cardiol     Publication Date:    2007 Sep-Oct
Date Detail:
Created Date:  2007-09-05     Completed Date:  2008-01-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9215283     Medline TA:  Am J Geriatr Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  295-303     Citation Subset:  IM    
Affiliation:
Rush Medical College, Chicago, IL, USA. lloydklein@comcast.net
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Aged, 80 and over
Algorithms
Electrocardiography*
Humans
Middle Aged
Myocardial Infarction / mortality,  therapy*
Myocardial Revascularization*
Outcome and Process Assessment (Health Care)
Patient Selection
Risk Assessment
Survival Rate
Thrombolytic Therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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