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

被引：6
|
作者：
Gimbel, M. E. [1 ]
ten Berg, J. M. [1 ]
机构：
[1] St Antonius Hosp, Dept Cardiol, Nieuwegein, Netherlands
来源：
NETHERLANDS HEART JOURNAL | 2017年 / 25卷 / 7-8期
关键词：
Acute coronary syndrome; Aged; Percutaneous coronary intervention; Platelet aggregation inhibitors; Coronary angiography; Elderly; DUAL ANTIPLATELET THERAPY; MYOCARDIAL-INFARCTION; PLATELET INHIBITION; ARTERY-DISEASE; FEMORAL ACCESS; INTERVENTION; PRASUGREL; CLOPIDOGREL; OUTCOMES; TICAGRELOR;
D O I：
10.1007/s12471-017-1002-3
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
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.
引用
收藏
页码：409 / 415
页数：7
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