Recent Advances in Geriatric Medicine

Volume: 1

Chronic Diseases in Geriatric Patients

Indexed in: EBSCO.

The incidence of multiple chronic diseases affecting a single individual is common among elderly patients. This incidence is believed to be associated with a decline in many health outcomes, ...
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Conundrums in the Care of Older Adults with Coronary Artery Disease

Pp. 3-16 (14)

Lei Gao

Abstract

Coronary artery disease (CAD) is one of the leading causes of death in both men and women aged > 65 years. However, older patients have been underrepresented in clinical trials resulting in limited data about the effectiveness of different treatment strategies in this population. Furthermore, the atypical clinical presentations of CAD in elderly patients, often make diagnosis challenging and can lead to suboptimal implementation of treatment and secondary preventive measures by health care professionals. This chapter reviews clinical presentations and diagnosis consideration of CAD in the elderly. This review will also address clinical challenges that often arise when considering medication therapy and percutaneous coronary intervention (PCI) in the elderly, as well as cardiac rehabilitation in this population. To optimize the benefits of therapy in the elderly, providers should consider complex interplay of variables such as comorbidities, functional and socioeconomic status, side effects associated with multiple drug administration, and individual biological variability.

Keywords:

Acute coronary syndrome, Angina, Bleeding risk, Coronary artery disease, Medication therapy, Older adults, Percutaneous coronary intervention, Polypharmacy, Revascularization.

Affiliation:

Department of Cardiology, General Hospital of People`s Liberation Army, Beijing 100853, People`s Republic of China.