Management of elderly patients with a non-ST-segment-elevation acute coronary syndrome

Elderly patients with an acute coronary syndrome are underrepresented in randomised controlled trials. Neither the European Society of Cardiology nor the American Heart Association/American College of Cardiology acute coronary syndrome guidelines provide specific recommendations for elderly patients...

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Detalles Bibliográficos
Autores principales: Gimbel, M. E., ten Berg, J. M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bohn Stafleu van Loghum 2017
Materias:
Review Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5513990/
https://www.ncbi.nlm.nih.gov/pubmed/28516369
http://dx.doi.org/10.1007/s12471-017-1002-3
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author Gimbel, M. E.
ten Berg, J. M.
author_facet Gimbel, M. E.
ten Berg, J. M.
author_sort Gimbel, M. E.
collection PubMed
description Elderly patients with an acute coronary syndrome are underrepresented in randomised controlled trials. Neither the European Society of Cardiology nor the American Heart Association/American College of Cardiology acute coronary syndrome guidelines provide specific recommendations for elderly patients. However, elderly patients are at higher thrombotic and bleeding risk compared with younger patients leading to difficulties in choosing the optimal treatment. In this review, we discuss the uncertainties we encounter in treating elderly patients with non-ST-elevation acute coronary syndrome and suggest treatment options based on the existing literature.
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spelling pubmed-55139902017-08-01 Management of elderly patients with a non-ST-segment-elevation acute coronary syndrome Gimbel, M. E. ten Berg, J. M. Neth Heart J Review Article Elderly patients with an acute coronary syndrome are underrepresented in randomised controlled trials. Neither the European Society of Cardiology nor the American Heart Association/American College of Cardiology acute coronary syndrome guidelines provide specific recommendations for elderly patients. However, elderly patients are at higher thrombotic and bleeding risk compared with younger patients leading to difficulties in choosing the optimal treatment. In this review, we discuss the uncertainties we encounter in treating elderly patients with non-ST-elevation acute coronary syndrome and suggest treatment options based on the existing literature. Bohn Stafleu van Loghum 2017-05-17 2017-07 /pmc/articles/PMC5513990/ /pubmed/28516369 http://dx.doi.org/10.1007/s12471-017-1002-3 Text en © The Author(s) 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Review Article
Gimbel, M. E.
ten Berg, J. M.
Management of elderly patients with a non-ST-segment-elevation acute coronary syndrome
title Management of elderly patients with a non-ST-segment-elevation acute coronary syndrome
title_full Management of elderly patients with a non-ST-segment-elevation acute coronary syndrome
title_fullStr Management of elderly patients with a non-ST-segment-elevation acute coronary syndrome
title_full_unstemmed Management of elderly patients with a non-ST-segment-elevation acute coronary syndrome
title_short Management of elderly patients with a non-ST-segment-elevation acute coronary syndrome
title_sort management of elderly patients with a non-st-segment-elevation acute coronary syndrome
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5513990/
https://www.ncbi.nlm.nih.gov/pubmed/28516369
http://dx.doi.org/10.1007/s12471-017-1002-3
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