Aug 2026· Advances in gerontology = Uspekhi gerontologii· Vol 39 3, pp.
383-389
· 0 citations· 5 references
Medicine
TL;DR
Patients 75 years and older are a complex, heterogeneous group with a very high risk of in-hospital and long-term mortality, requiring a balanced and individualized approach from medical personnel at all stages of treatment.
Abstract
A retrospective study included 171 patients with acute coronary syndrome who underwent primary percutaneous coronary intervention between 2019 and 2023. Elderly and long-lived patients with ST-ECS and NSTE-ACS are characterized by significant comorbidity, with significantly more severe coronary pathology, as measured by the Syntax Score. In-hospital and long-term mortality were significantly higher in patients over 75 years of age. However, the incidence of late stroke and bleeding did not differ statistically between the study groups. Patients 75 years and older are a complex, heterogeneous group with a very high risk of in-hospital and long-term mortality, requiring a balanced and individualized approach from medical personnel at all stages of treatment.
Geriatric patients presenting with ACS achieve substantially better functional capacity, reduced angina frequency, and superior health-related quality of life when managed with an invasive strategy compared to a conservative approach.
Jafin Basheer, A. Thankappan, Ijas M. Anakath et al.· Cureus· 0 citations
Elderly patients were at higher risk of NACE, driven by an increased risk of both ischemic and bleeding events, the latter including access-site and nonaccess-site hemorrhages of both minor and major severity.
S. Benenati, F. Gragnano, Sebastiano Stratoti et al.· Journal of Cardiovascular Me...· 1 citation
The SENIOR-RITA angiography sub-study is the largest subgroup analysis to date in older NSTEMI adults, providing important insights into the angiographic characteristics and emphasizing the importance of a holistic, patient-centred care for older adults.
G. Pompei, F. Rubino, Kenny Jenkins et al.· European Heart Journal Open· 0 citations
This study provides real-world evidence by comparing the long-term clinical outcomes of percutaneous coronary intervention (PCI) versus medical therapy alone in patients with chronic coronary syndrome (CCS) diagnosed non-invasively, given the lack of evidence in this population. This retrospective cohort study (2013–20...
Hsien-Yuan Chang, Hsin-Yu Fang, Mu-Shiang Huang et al.· Journal of Food and Drug Ana...· 0 citations
Background and objective: Acute coronary syndromes (ACS), particularly those affecting the left main coronary artery (LMCA), are associated with high morbidity and mortality. The objective of the present study was to investigate long-term outcomes in patients who underwent percutaneous coronary intervention (PCI) for A...
S. M. Mamun Iqbal, A. M. Shafique, Neuton Mondal et al.· Cureus· 0 citations
In patients with NSTEMI and stable HF, early PCI was associated with higher risk of adverse cardiovascular outcomes, warranting further investigation in this understudied subgroup.
Muhammad Hanif, Vivek Bhat, Anthony Mufarreh et al.· Catheterization and cardiova...· 0 citations
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