Alonso Salinas Gonzalo Luis, Cepas-Guillén Pedro, León Amaia Martínez, Jiménez-Méndez César, Lozano-Vicario Lucia, Martínez-Avial María, Díez-Villanueva Pablo
Cardiology Department, Hospital Universitario de Navarra (HUN-NOU), Calle de Irunlarrea, 3, 31008 Pamplona, Spain.
Navarrabiomed (Miguel Servet Foundation), IdiSNA, 31008 Pamplona, Spain.
J Clin Med. 2024 Mar 25;13(7):1891. doi: 10.3390/jcm13071891.
The growing geriatric population presenting with coronary artery disease poses a primary challenge for healthcare services. This is a highly heterogeneous population, often underrepresented in studies and clinical trials, with distinctive characteristics that render them particularly vulnerable to standard management/approaches. In this review, we aim to summarize the available evidence on the treatment of acute coronary syndrome in the elderly. Additionally, we contextualize frailty, comorbidity, sarcopenia, and cognitive impairment, common in these patients, within the realm of coronary artery disease, proposing strategies for each case that may assist in therapeutic approaches.
老年冠心病患者数量的不断增加给医疗服务带来了主要挑战。这是一个高度异质性的群体，在研究和临床试验中往往代表性不足，具有独特的特征，这使得他们特别容易受到标准管理/方法的影响。在本综述中，我们旨在总结关于老年人急性冠状动脉综合征治疗的现有证据。此外，我们将这些患者中常见的虚弱、合并症、肌肉减少症和认知障碍置于冠状动脉疾病的背景下，针对每种情况提出可能有助于治疗方法的策略。
