Management of ischemic heart disease in the elderly

Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics
Taishiro Chikamori

Abstract

Clinical features of ischemic heart disease in the elderly are different from those in non-elderly patients. The prevalence of female patients, hypertension and co-morbidity was higher in the elderly than in non-elderly patients. Atypical clinical presentation should be taken into consideration, particularly in patients with acute coronary syndrome, because early initiation of coronary reperfusion therapy reduces mortality significantly in elderly patients. In chronic stable angina, risk stratification of patients using stress myocardial perfusion imaging plays an important clinical role. The management of coronary risk factors to prevent cardiovascular events is of utmost importance in the elderly since the mortality of acute myocardial infarction is very high. Among classical risk factors, beneficial effects of the management of blood pressure on hypertensive and/or diabetic patients are enormous. Recent development of percutaneous coronary intervention facilitated coronary revascularization to reduce ischemic burden even in patients aged 80 years or older due to the low invasiveness of the procedure. However, cardiac surgery is still regarded as the first option for the elderly ith associated aortic stenosis, diffuse 3-vesse...Continue Reading

References

Aug 1, 1997·Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics·K HirakawaY Doi
Jan 15, 2000·Journal of the American College of Cardiology·S E SheiferT A Manolio
Mar 8, 2003·JAMA : the Journal of the American Medical Association·Matthias PfistererUNKNOWN Trial of Invasive versus Medical therapy in Elderly patients (TIME) Investigators
Jan 5, 2008·Journal of the American College of Cardiology·Jonathan AfilaloMark J Eisenberg
Apr 2, 2008·The New England Journal of Medicine·Nigel S BeckettUNKNOWN HYVET Study Group
Jun 10, 2008·The New England Journal of Medicine·UNKNOWN Action to Control Cardiovascular Risk in Diabetes Study GroupWilliam T Friedewald
Dec 19, 2008·The New England Journal of Medicine·William DuckworthUNKNOWN VADT Investigators
Feb 21, 2009·The New England Journal of Medicine·Patrick W SerruysUNKNOWN SYNTAX Investigators

❮ Previous
Next ❯

Citations

Mar 8, 2011·Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics·Hidetomo MaruyoshiSoichi Nagata
Sep 13, 2013·Journal of Cardiovascular Disease Research·Lovleen C Bhatia, Ruchi H Naik

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.