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.

引用

页码：291 / +

页数：14

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