Management of Acute Coronary Syndrome in the Older Adult Population: A Scientific Statement From the American Heart Association

Diagnostic and therapeutic advances during the past decades have substantially improved health outcomes for patients with acute coronary syndrome. Both age-related physiological changes and accumulated cardiovascular risk factors increase the susceptibility to acute coronary syndrome over a lifetime...

Celý popis

Uložené v:
Podrobná bibliografia
Vydané v:Circulation (New York, N.Y.) Ročník 147; číslo 3; s. e32
Hlavní autori: Damluji, Abdulla A, Forman, Daniel E, Wang, Tracy Y, Chikwe, Joanna, Kunadian, Vijay, Rich, Michael W, Young, Bessie A, Page, 2nd, Robert L, DeVon, Holli A, Alexander, Karen P
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States 17.01.2023
Predmet:
Acute Coronary Syndrome - diagnosis
Acute Coronary Syndrome - epidemiology
Acute Coronary Syndrome - therapy
Aged
American Heart Association
Humans
Prognosis
Risk Assessment
Risk Factors
United States - epidemiology
United States
frailty
acute coronary syndrome
multimorbidity
geriatric assessment
cardiovascular diseases
polypharmacy
AHA Scientific Statements
ISSN:1524-4539, 1524-4539
On-line prístup:Zistit podrobnosti o prístupe
Tagy: Pridať tag
Žiadne tagy, Buďte prvý, kto otaguje tento záznam!
Popis
Shrnutí:Diagnostic and therapeutic advances during the past decades have substantially improved health outcomes for patients with acute coronary syndrome. Both age-related physiological changes and accumulated cardiovascular risk factors increase the susceptibility to acute coronary syndrome over a lifetime. Compared with younger patients, outcomes for acute coronary syndrome in the large and growing demographic of older adults are relatively worse. Increased atherosclerotic plaque burden and complexity of anatomic disease, compounded by age-related cardiovascular and noncardiovascular comorbid conditions, contribute to the worse prognosis observed in older individuals. Geriatric syndromes, including frailty, multimorbidity, impaired cognitive and physical function, polypharmacy, and other complexities of care, can undermine the therapeutic efficacy of guidelines-based treatments and the resiliency of older adults to survive and recover, as well. In this American Heart Association scientific statement, we (1) review age-related physiological changes that predispose to acute coronary syndrome and management complexity; (2) describe the influence of commonly encountered geriatric syndromes on cardiovascular disease outcomes; and (3) recommend age-appropriate and guideline-concordant revascularization and acute coronary syndrome management strategies, including transitions of care, the use of cardiac rehabilitation, palliative care services, and holistic approaches. The primacy of individualized risk assessment and patient-centered care decision-making is highlighted throughout.
Bibliografia:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
ObjectType-Review-3
content type line 23
ISSN:1524-4539
1524-4539
DOI:10.1161/CIR.0000000000001112