Multiple Chronic Conditions in Older Adults with Acute Coronary Syndromes

被引：16
作者：
Alfredsson, Joakim [1 ,2 ,3 ]
Alexander, Karen P. [3 ]
机构：
[1] Linkoping Univ, Dept Cardiol, Linkoping, Sweden
[2] Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden
[3] Duke Univ, Med Ctr, Duke Clin Res Inst, Durham, NC 27710 USA
来源：
CLINICS IN GERIATRIC MEDICINE | 2016年 / 32卷 / 02期
关键词：
Acute coronary syndrome; Myocardial infarction (MI); Older adults; Multiple chronic conditions; Type; 2; MI; ACUTE MYOCARDIAL-INFARCTION; LONG-TERM MORTALITY; CHARLSON COMORBIDITY INDEX; IN-HOSPITAL MORTALITY; ATRIAL-FIBRILLATION; SCIENTIFIC STATEMENT; HEART-DISEASE; HEALTH-CARE; CLINICAL-OUTCOMES; RISK-FACTOR;
D O I：
10.1016/j.cger.2016.01.009
中图分类号：
R592 [老年病学]; C [社会科学总论];
学科分类号：
03 ; 0303 ; 100203 ;
摘要：
Older adults presenting with acute coronary syndromes (ACSs) often have multiple chronic conditions (MCCs). In addition to traditional cardiovascular (CV) risk factors (ie, hypertension, hyperlipidemia, and diabetes), common CV comorbidities include heart failure, stroke, and atrial fibrillation, whereas prevalent non-CV comorbidities include chronic kidney disease, anemia, depression, and chronic obstructive pulmonary disease. The presence of MCCs affects the presentation (eg, increased frequency of type 2 myocardial infarctions [MIs]), clinical course, and prognosis of ACS in older adults. In general, higher comorbidity burden increases mortality following MI, reduces utilization of ACS treatments, and increases the importance of developing individualized treatment plans.
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收藏
页码：291 / +
页数：14
相关论文
共 68 条
[1]   Psychiatric Comorbidity and 30-Day Readmissions After Hospitalization for Heart Failure, AMI, and Pneumonia [J].
Ahmedani, Brian K. ;
Solberg, Leif I. ;
Copeland, Laurel A. ;
Fang-Hollingsworth, Ying ;
Stewart, Christine ;
Hu, Jianhui ;
Nerenz, David R. ;
Williams, L. Keoki ;
Cassidy-Bushrow, Andrea E. ;
Waxmonsky, Jeanette ;
Lu, Christine Y. ;
Waitzfelder, Beth E. ;
Owen-Smith, Ashli A. ;
Coleman, Karen J. ;
Lynch, Frances L. ;
Ahmed, Ameena T. ;
Beck, Arne ;
Rossom, Rebecca C. ;
Simon, Gregory E. .
PSYCHIATRIC SERVICES, 2015, 66 (02) :134-140
[2]   Acute coronary syndrome vs nonspecific troponin elevation - Clinical predictors and survival analysis [J].
Alcalai, Ronny ;
Planer, David ;
Culhaoglu, Afsin ;
Osman, Aydin ;
Pollak, Arthur ;
Lotan, Chaim .
ARCHIVES OF INTERNAL MEDICINE, 2007, 167 (03) :276-281
[3]   Acute coronary care in the elderly, Part I Non-ST-segment-elevation acute coronary syndromes - A scientific statement for healthcare professionals from the American Heart Association council on clinical cardiology - In collaboration with the society of geriatric cardiology [J].
Alexander, Karen P. ;
Newby, Kristin ;
Cannon, Christopher P. ;
Armstrong, Paul W. ;
Gibler, W. Brian ;
Rich, Michael W. ;
Van de Werf, Frans ;
White, Harvey D. ;
Weaver, W. Douglas ;
Naylor, Mary D. ;
Gore, Joel M. ;
Krumholz, Harlan M. ;
Ohman, E. Magnus .
CIRCULATION, 2007, 115 (19) :2549-2569
[4]   Excess dosing of antiplatelet and antithrombin agents in the treatment of non-ST-segment elevation acute coronary syndromes [J].
Alexander, KP ;
Chen, AY ;
Roe, MT ;
Newby, LK ;
Gibson, CM ;
Allen-LaPointe, NM ;
Pollack, C ;
Gibler, WB ;
Ohman, EM ;
Peterson, ED .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2005, 294 (24) :3108-3116
[5]   Gender differences in management and outcome in non-ST-elevation acute coronary syndrome [J].
Alfredsson, Joakim ;
Stenestrand, Ulf ;
Wallentin, Lars ;
Swahn, Eva .
HEART, 2007, 93 (11) :1357-1362
[6]   Impact of chronic obstructive pulmonary disease on morbidity and mortality after myocardial infarction [J].
Andell, Pontus ;
Koul, Sasha ;
Martinsson, Andreas ;
Sundstrom, Johan ;
Jernberg, Tomas ;
Smith, J. Gustav ;
James, Stefan ;
Lindahl, Bertil ;
Erlinge, David .
OPEN HEART, 2014, 1 (01)
[7]  
[Anonymous], EUR HEART J ACUTE CA
[8]  
[Anonymous], J AM COLL CARDIOL
[9]  
[Anonymous], 2013, CLIN EPIDEMIOL, DOI [DOI 10.2147/CLEP.S49485, 10.2147/CLEP.S49485]
[10]  
[Anonymous], AM J CARDIOL
1234567