Doughty R N, Sharpe N
Department of Medicine, University of Auckland School of Medicine, New Zealand.
Drugs Aging. 1996 May;8(5):349-57. doi: 10.2165/00002512-199608050-00004.
Ischaemic heart disease is a major problem in the elderly. Compared with younger patients, coexisting medical conditions are more common and the patients are more likely to be receiving multiple drugs. In addition, drug pharmacodynamics are altered in the elderly and this needs to be carefully considered when commencing treatment for angina. In practice, the general principles of management of elderly patients with angina are similar to that of younger patients. However, particular care needs to be taken with the therapeutic regimens used. This article reviews the approach to the treatment of stable exertional angina in the elderly.
缺血性心脏病是老年人面临的一个主要问题。与年轻患者相比，并存的内科疾病更为常见，且患者更有可能正在服用多种药物。此外，老年人的药物药效学发生改变，在开始心绞痛治疗时需要仔细考虑这一点。在实践中，老年心绞痛患者的总体管理原则与年轻患者相似。然而，对于所使用的治疗方案需要格外小心。本文综述了老年稳定型劳力性心绞痛的治疗方法。
