scholarly journals Early Aggressive Versus Initially Conservative Treatment in Elderly Patients With Non–ST-Segment Elevation Acute Coronary Syndrome

2012 ◽  
Vol 5 (9) ◽  
pp. 906-916 ◽  
Author(s):  
Stefano Savonitto ◽  
Claudio Cavallini ◽  
A. Sonia Petronio ◽  
Ernesto Murena ◽  
Roberto Antonicelli ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Conservative Treatment ◽  
Elderly Patients ◽  
St Segment Elevation ◽  
Coronary Syndrome ◽  
St Segment ◽  
Elevation Acute Coronary Syndrome

Prognostic Impact of Interventional Approach in Non-ST Segment Elevation Acute Coronary Syndrome in Very Elderly Patients

2011 ◽  
Vol 64 (10) ◽  
pp. 853-861 ◽  
Author(s):  
Iñaki Villanueva-Benito ◽  
Itziar Solla-Ruíz ◽  
Emilio Paredes-Galán ◽  
Óscar Díaz-Castro ◽  
Francisco E. Calvo-Iglesias ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Elderly Patients ◽  
Prognostic Impact ◽  
Very Elderly ◽  
St Segment Elevation ◽  
Coronary Syndrome ◽  
St Segment ◽  
Elevation Acute Coronary Syndrome

Early angiography in elderly patients with non-ST-segment elevation acute coronary syndrome: The cardio CHUS-HUSJ registry

2021 ◽  
Author(s):  
Teba González Ferrero ◽  
Belén Álvarez Álvarez ◽  
Alberto Cordero ◽  
Jesús Martinón Martínez ◽  
Carla Cacho Antonio ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Elderly Patients ◽  
St Segment Elevation ◽  
Coronary Syndrome ◽  
St Segment ◽  
Elevation Acute Coronary Syndrome

Statin Treatment and Prognosis of Elderly Patients Discharged after Non-ST Segment Elevation Acute Coronary Syndrome

Cardiology ◽  
2019 ◽  
Vol 143 (1-2) ◽  
pp. 14-21 ◽  
Author(s):  
Lourdes Vicent ◽  
Albert Ariza-Solé ◽  
Pablo Díez-Villanueva ◽  
Oriol Alegre ◽  
Juan Sanchís ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Elderly Patients ◽  
Ldl Cholesterol ◽  
Statin Treatment ◽  
Invasive Approach ◽  
St Segment Elevation ◽  
Coronary Syndrome ◽  
Cholesterol Levels ◽  
St Segment ◽  
Elevation Acute Coronary Syndrome

Background: Statins are recommended for secondary prevention. Our aims were to describe the proportion of very elderly patients receiving statins after non-ST segment elevation acute coronary syndrome (NST-ACS) and to determine the prognostic implications of statins use. Methods: This prospective registry was performed in 44 hospitals that included patients ≥80 years discharged after a NST-ACS from April 2016 to September 2016. Results: We included 523 patients, the mean age was 84.2 ± 4.0 years and 200 patients (38.2%) were women. Previous statin treatment was recorded in 282 patients (53.4%), and 135 (32.5%) had LDL cholesterol levels >2.6 mmol/L. Mean LDL cholesterol levels during admission were 2.3 ± 0.9 mmol/L. Statins were prescribed at discharge to 474 patients (90.6%). Compared with patients discharged on statins, those that did not receive statins were more often frail (22 [47.8%] vs. 114 [24.4%], p < 0.01) and underwent an invasive approach less frequently (30 [61.2%] vs. 374 [78.9%], p = 0.01). During a 6-month follow-up, 50 patients died (9.5%). There was a nonsignificant trend to higher mortality in patients not treated with statins (6 [15%] vs. 44 [9.6%], p = 0.30), but statins were not independently associated with lower mortality (hazard ratio [HR] 0.79; 95% confidence interval [CI] 0.30–2.11, p = 0.65), nor with a reduction in the combined endpoint mortality/hospitalizations (HR 0.89; 95% CI 0.52–1.55, p = 0.69). Conclusions: Although most octogenarians presenting a NST-ACS are already on statins before the episode, their LDL cholesterol is frequently >2.6 mmol/L. Octogenarians who do not receive statins have a high-risk profile, with significant frailty and comorbidity.

scholarly journals Sex-Related Outcomes in Elderly Patients Presenting With Non–ST-Segment Elevation Acute Coronary Syndrome

2015 ◽  
Vol 8 (6) ◽  
pp. 791-796 ◽  
Author(s):  
Marco De Carlo ◽  
Nuccia Morici ◽  
Stefano Savonitto ◽  
Vincenzo Grassia ◽  
Paolo Sbarzaglia ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Elderly Patients ◽  
St Segment Elevation ◽  
Coronary Syndrome ◽  
St Segment ◽  
Elevation Acute Coronary Syndrome
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