AI Article Synopsis
- The study focuses on elderly patients (70+) with acute coronary syndrome (ACS), highlighting their poorer treatment despite a grim prognosis.
- It analyzes the angiographic data of 250 patients admitted for ACS, revealing that most cases were their first heart events and often involved complex coronary issues.
- The findings suggest that while elderly patients typically have multivessel disease and complicated lesions, many can still benefit from surgical or minimally invasive treatments.
Article Abstract
Background: Although the prognosis of acute coronary syndrome (ACS) in elderly patients is bleak , elderly population is less well treated both in medical and interventional terms. aims: to analyse angiographic findings in septuagenarian patients admitted with ACS and its impact on the therapeutic strategy.
Methods: We retrospectively analysed 250 patients 70 years or older hospitalised for ACS who underwent a coronary angiography between january 2006 to September 2010.
Results: This population was more likely to be male with mean age 74 years and 93 % of ACS were inaugural events (60% N STEM, 40% STEMI).Coronary angiograms showed complex, diffuse coronary lesions with a high incidence of multivessel coronary artery disease , bifurcation lesions , and calcified stenosis.
Conclusion: Angiographic findings after ACS in elderly were characterised by multivessel disease and complex lesions .Surgical or percutaneous coronary revascularizaion was possible in the majority of these patients.
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