RT Journal Article
T1 Management strategy of non-ST segment elevation acute coronary syndromes in octogenarians: a call for a personalized approach
A1 Martínez Solano, Jorge
A1 Alonso García, Andrés
A1 Álvarez Zaballos, Sara
A1 Martínez-Sellés D Oliveira Soares, Manuel
AB The rate of octogenarians among patients with non-ST segment elevation acute coronary syndrome (NSTEACS) will continue to increase in the coming years due to population aging. Routine invasive management of NSTEACS has shown long-term benefit in general population but evidence-based recommendations in this subset of patients remain scarce. The decision-making process in elderly patients should take into account several geriatric factors including frailty, comorbidities, dependency, cognitive impairment, malnutrition, and polymedication. Chronological age is a poor marker of the biological situation in octogenarians and heterogeneity is common. Recent studies support an invasive strategy in most octogenarians. However, observational data suggest that significant comorbidities seem to be related to futility of an invasive approach whereas the risk-benefit balance in frail patients might favor revascularization. Further studies are needed to define a tailored approach in each octogenarian with NSTEACS through a better assessment and quantification of frailty, comorbidities and ischemic risk.
PB IMR Press
YR 2021
FD 2021-12-22
LK https://hdl.handle.net/20.500.14352/117528
UL https://hdl.handle.net/20.500.14352/117528
LA eng
NO Martínez-Solano J, Alonso-García A, Álvarez-Zaballos S, Martínez-Sellés M. Management strategy of non-ST segment elevation acute coronary syndromes in octogenarians: a call for a personalized approach. Rev Cardiovasc Med. 2021 Dec 22;22(4):1205-1214.
DS Docta Complutense
RD 7 jun 2025