关键词: acute coronary syndrome bleeding risk cognitive impairment comorbidity coronary artery disease delirium elderly frailty geriatric syndromes sarcopenia thrombotic risk

来  源:   DOI:10.3390/jcm13071891   PDF(Pubmed)

Abstract:
The growing geriatric population presenting with coronary artery disease poses a primary challenge for healthcare services. This is a highly heterogeneous population, often underrepresented in studies and clinical trials, with distinctive characteristics that render them particularly vulnerable to standard management/approaches. In this review, we aim to summarize the available evidence on the treatment of acute coronary syndrome in the elderly. Additionally, we contextualize frailty, comorbidity, sarcopenia, and cognitive impairment, common in these patients, within the realm of coronary artery disease, proposing strategies for each case that may assist in therapeutic approaches.
摘要:
患有冠状动脉疾病的老年人口的增长对医疗保健服务构成了主要挑战。这是一个高度异质的群体,在研究和临床试验中往往代表性不足,具有独特的特征,使它们特别容易受到标准管理/方法的影响。在这次审查中,我们的目的是总结老年急性冠脉综合征治疗的现有证据。此外,我们将脆弱与上下文联系起来,合并症,少肌症,和认知障碍,在这些患者中很常见,在冠状动脉疾病领域,为每种情况提出可能有助于治疗方法的策略。
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