| 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 |
Related Documents
:
|
19371549 - Acute inferior pseudoinfarction pattern in a patient with normokalemia and diabetic ket... 2914749 - Electrocardiographic correlates of hyperglycemia in acute myocardial infarction. 3920889 - Coronary artery spasm after abrupt withdrawal of nitroglycerin in rabbits. 10760329 - Early diagnosis of right ventricular or posterior infarction associated with inferior w... 1212149 - Heart rate monitoring of pilots during steep-gradient approaches. 3679599 - Differences in left ventricular function between anterior and inferior myocardial infar... 9398109 - Clinical implications of cigarette smoking in acute myocardial infarction: acute angiog... 22816539 - Evaluation of 5-year risk of cardiovascular events in patients after acute myocardial i... 22835629 - Low ankle-brachial index is an independent predictor of poor functional outcome in acut... |
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 |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| 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
Previous Document: New-onset syncope in older adults: focus on age and etiology.
Next Document: A randomized, double-blind, placebo-controlled parallel-group study to assess the efficacy and safet...