[Personified monitoring of acute coronary syndrome and its outcomes in elderly patients. Report 2. Invasive diagnostic and treatment methods (review).].

Literature review describes the features of diagnosis and monitoring of elderly and senile patients with coronary heart disease, that will undergoing coronary angiography, percutaneous coronary intervention or coronary artery bypass surgery. Review notes the advantage of the routine invasive strategy in elderly patients with a high risk of NSTEMI. The authors recommend a preliminary assessment of frailty before coronary angiography. Radial access for coronary angiography or percutaneous coronary intervention is considered preferable. It has lower frequency of access and bleeding complications. Daily activity of elderly patients after PCI should be used to predict mortality. CHA2DS2VASc as a predictor of the risk of adverse cerebrovascular episodes is recommended in addition. Aortic calcification and diffuse atherosclerotic changes in the walls of the coronary arteries are important factors in the risk verification scales EuroSCORE and EuroSCORE II in patients after 70 years who underwent CABG intervention.