Cardiology Department, Hospital Universitario La Princesa, Universidad Autónoma de Madrid, 28006 Madrid, IIS-IP, CIBER-CV, Spain.
Rev Cardiovasc Med. 2021 Sep 24;22(3):779-786. doi: 10.31083/j.rcm2203084.
Ischemic heart disease constitutes the leading cause of death in Western countries. The general incidence of acute coronary syndromes (ACS), especially non-ST segment elevation myocardial infarction (NSTEMI), is growing. Advanced age is both a strong risk factor for ACS and an independent predictor of poorer clinical outcomes. Management of this entity is often complex in the elderly, while special attention should be focused on comorbidities and geriatric conditions. This article aims to review clinical presentation, identification and management of NSTEMI in the elderly population.
缺血性心脏病是西方国家的主要死亡原因。急性冠状动脉综合征（ACS）的总体发病率（尤其是非 ST 段抬高型心肌梗死[NSTEMI]）正在上升。高龄既是 ACS 的一个强有力的危险因素，也是临床结局较差的一个独立预测因素。老年人ACS 的管理往往较为复杂，同时应特别注意合并症和老年病情况。本文旨在回顾老年人 NSTEMI 的临床表现、识别和处理。
