Management strategy of non-ST segment elevation acute coronary syndromes in octogenarians: a call for a personalized approach

Management strategy of non-ST segment elevation acute coronary syndromes in octogenarians: a call for a personalized approach

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The rate of octogenarians among lorenametaute.com patients with non-ST segment elevation acute coronary syndrome (NSTEACS) will continue to increase in the coming years due to population aging.Routine invasive management of NSTEACS has shown long-term benefit in general population but evidence-based recommendations in this subset of patients remain scarce.The decision-making process in elderly patients should take into account several geriatric factors including frailty, comorbidities, dependency, cognitive impairment, malnutrition, and polymedication.Chronological age is a poor marker of the biological situation in octogenarians and heterogeneity is common.

Recent studies support rubbermaid 8 gallon trash can an invasive strategy in most octogenarians.However, observational data suggest that significant comorbidities seem to be related to futility of an invasive approach whereas the risk-benefit balance in frail patients might favor revascularization.Further studies are needed to define a tailored approach in each octogenarian with NSTEACS through a better assessment and quantification of frailty, comorbidities and ischemic risk.