Acute coronary syndrome in older people

Zeitschrift für Gerontologie und Geriatrie
D EcknerM Pauschinger

Abstract

The acute coronary syndrome (ACS) is subdivided into ST segment elevation myocardial infarction (STEMI), non-ST segment elevation acute coronary syndrome (NSTE-ACS) and unstable angina pectoris. It poses a particular challenge in terms of diagnostics and treatment, especially in the elderly. Starting with the possibly difficult anamnesis, through the laboratory chemical findings up to special features in the electrocardiogram (ECG), echocardiography and angiography, these patients should be considered in some ways different to the younger population. Because of the mortality and morbidity after ACS, especially in old age, it is important to adhere to evident strategies in diagnostics and treatment and to employ specially trained personnel for people with acute chest pain in order to improve the prognosis and quality of life. A first important step is to provide certified chest pain units which ensure smooth diagnostics and treatment and thus positively influence the clinical decision-making processes.

References

Oct 1, 1967·The American Journal of Cardiology·T Killip, J T Kimball
Aug 10, 2001·JAMA : the Journal of the American Medical Association·P Y LeeE D Peterson
Dec 15, 2004·European Journal of Anaesthesiology·M B JensenM B Schmidt
Jan 16, 2009·The New England Journal of Medicine·Pim A L ToninoUNKNOWN FAME Study Investigators
Aug 31, 2010·Resuscitation·Raoul BreitkreutzUNKNOWN Emergency Ultrasound Working Group of the Johann Wolfgang Goethe-University Hospital, Frankfurt am Main
Mar 1, 2014·American Heart Journal·Robin HofmannTomas Jernberg
May 24, 2015·Circulation·Dion StubUNKNOWN AVOID Investigators
Dec 14, 2016·The New England Journal of Medicine·C Michael GibsonKeith A Fox
Oct 28, 2017·Journal of the American College of Cardiology·Andreas RoosMartin J Holzmann
Nov 14, 2017·The New England Journal of Medicine·Steven D WeisbordUNKNOWN PRESERVE Trial Group

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Citations

Sep 27, 2018·Journal of Clinical Nursing·Leonhard H SchützNils Lahmann

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