Aydumova O Y, Shchukin Y V
Samara State Medical University, 89 Chapaevskay str., Samara 443099, Russian Federation, e-mail:
Adv Gerontol. 2019;32(5):819-823.
The article analyses recent studies dedicated to elderly patients with acute coronary syndrome (ACS) with senile asthenia syndrome - frailtyand without it. The presence of frailty in an elderly patient with ACS is associated with marked comorbidity and long-lasting hospitalization, high risk of adverse cardiovascular events, including recurrent myocardial infarction, as well as death from all causes, either during the current hospitalization or within a year after the discharge from the hospital. However, the evidence concerning the influence of frailty on the risk of bleeding is controversial.
本文分析了近期针对患有急性冠状动脉综合征(ACS)并伴有老年衰弱综合征(衰弱)和不伴有该综合征的老年患者的研究。老年ACS患者中衰弱的存在与明显的合并症、长期住院、不良心血管事件(包括复发性心肌梗死)的高风险以及在当前住院期间或出院后一年内的全因死亡相关。然而,关于衰弱对出血风险影响的证据存在争议。