Acute coronary syndrome management in older adults: Guidelines, temporal changes and challenges

Age and Ageing

Volumn 43, Issue 4, 2014, Pages 450-455

  Saunderson, Christopher E D ^a   Brogan, Richard A ^a,b   Simms, Alexander D ^c   Sutton, Graham ^d   Batin, Phillip D ^a   Gale, Christopher P ^c  

^a MID YORKSHIRE HOSPITALS NHS TRUST   (United Kingdom)

^b UNIVERSITY OF YORK   (United Kingdom)

^c UNIVERSITY OF LEEDS   (United Kingdom)

^d ST JAMES S UNIVERSITY HOSPITAL   (United Kingdom)

Author keywords

Acute coronary syndromes; Inequalities; Older adults; Older people; Outcomes; Temporal changes

Indexed keywords

ACETYLSALICYLIC ACID; ANTITHROMBIN; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; CLOPIDOGREL; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR; FIBRINOGEN RECEPTOR ANTAGONIST; HYDROXYMETHYLGLUTARYL COENZYME A REDUCTASE INHIBITOR; TICAGRELOR;

ACUTE CORONARY SYNDROME; AGE DISTRIBUTION; ANGIOCARDIOGRAPHY; BLOOD CLOT LYSIS; CARDIOVASCULAR SYSTEM EXAMINATION; COMORBIDITY; DIAPHORESIS; DYSPNEA; FAINTNESS; HEALTH CARE ACCESS; HEART CATHETERIZATION; HEART MUSCLE REVASCULARIZATION; HEART REHABILITATION; HUMAN; MORTALITY; NAUSEA; NON ST SEGMENT ELEVATION MYOCARDIAL INFARCTION; NOTE; PATIENT CARE; PERCUTANEOUS CORONARY INTERVENTION; PRIORITY JOURNAL; RISK FACTOR; ST SEGMENT ELEVATION MYOCARDIAL INFARCTION; THORAX PAIN; TREATMENT INDICATION; TREATMENT OUTCOME; VOMITING; AGE; AGED; DISEASE MANAGEMENT; ELDERLY CARE; PRACTICE GUIDELINE; VERY ELDERLY;

ACUTE CORONARY SYNDROME; AGE FACTORS; AGED; AGED, 80 AND OVER; DISEASE MANAGEMENT; HEALTH SERVICES FOR THE AGED; HUMANS; PRACTICE GUIDELINES AS TOPIC; RISK FACTORS;

EID: 84903144201     PISSN: 00020729     EISSN: 14682834     Source Type: Journal    
DOI: 10.1093/ageing/afu034     Document Type: Note

References (15)

1. Townsend N, Wickramasinghe K, Bhatnagar P et al. Coronary Heart Disease Statistics 2012 Edition. London: British Heart Foundation, 2012.
2. Steg P, James S, Atar D et al. Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology (ESC). Eur Heart J 2012; 33: 2569-619.
3. Hamm C, Bassand J, Agewall S et al. ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: the Task Force for the management of acute coronary syndromes (ACS) in patients presenting without persistent ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J 2011; 32: 2999-3054.
4. O'Gara P, Kushner F, Ascheim D, Casey D et al. 2013 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction: a Report of the American College of Cardiology Foundation/American Heart Association. Circulation 2013; 127: e362-425.
5. Jneid H, Anderson J, Wright R et al. 2012 ACCF/AHA Focused Update of the Guideline for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction (Updating the 2007 Guideline and Replacing the 2011 Focused Update). Circulation 2012; 126: 875-910.
6. National Institute for Health and Care Excellence. Myocardial Infarction with ST-Segment Elevation: The Acute Management of Myocardial Infarction with ST-Segment Elevation. CG167. London: National Institute for Health and Care Excellence, 2013.
7. National Institute for Health and Care Excellence. Unstable Angina and NSTEMI: The Early Management of Unstable Angina and Non-ST-Segment-Elevation Myocardial Infarction. CG94. London: National Institute for Health and Care Excellence, 2010.
8. Alexander K, Newby L, Cannon C et al. Acute Coronary Care in the Elderly, Part I. Circulation. 2007; 115: 2549-69.
9. Gale C, Cattle B, Woolston A et al. Resolving inequalities in care? Reduced mortality in the elderly after acute coronary syndrome. The Myocardial Ischaemia National Audit Project 2003-2010. Eur Heart J 2012; 33: 630-9.
10. Alabas OA, Allan V, McLenachan JM, Feltbower R, Gale CP. Age-dependent improvements in survival after hospitalisation with acute myocardial infarction: an analysis of the Myocardial Ischemia National Audit Project (MINAP). Age Ageing 2013. doi: 10.1093/ageing/aft201.
11. Fleg J, Aronow W, Frishman W. Cardiovascular drug therapy in the elderly: benefits and challenges. Nat Rev Cardiol 2011; 8: 13-28.
12. Yan A, Yan R, Huynh T et al. Understanding physicians' risk stratification of acute coronary syndromes: insights from the Canadian ACS 2 Registry. Arch Intern Med 2009; 169: 372-8.
13. Graham M, Galbraith P, O'Neill D, Rolfson D, Dando C, Norris C. Frailty and outcome in elderly patients with acute coronary syndrome. Can J Cardiol 2013; 29: 1610-5.
14. Alexander K, Newby L, Cannon C et al. Acute coronary care in the elderly, part II. Circulation 2007; 115: 2570-89.
15. Fleg J, Forman D, Berra K et al. Secondary prevention of atherosclerotic cardiovascular disease in older adults: a scientific statement from the American Heart Association. Circulation 2013; 128: 2422-46.