Abstract
An increasing proportion of patients presenting with acute Coronary syndromes (ACS) are very elderly. The outcome of interventional therapy in such patients is unclear. We examined the outcome at one year in consecutive octogenarians hospitalized for ACS treated by a selective interventional approach. Coronary angiography was performed in 59 (29%) of 201 octogenarians hospitalized in the year 2000, 73% of whom had revascularization. Patients selected for angiography had greater improvement in functional class and lower mortality although repeat hospitalization was common in both cohorts. This selective approach provided a satisfactory balance between the risks and benefits involved in interventional treatment in this age group.
Original language | American English |
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Title of host publication | ADVANCES IN CORONARY ARTERY DISEASE |
Editors | BS Lewis, DA Halon, MY Flugelman, J Hradec |
Pages | 91-96 |
State | Published - 2001 |