PMID: 32145169Jan 1, 2019Paper

Personified monitoring of acute coronary syndrome and its outcomes in elderly patients. Report 1. Acute coronary syndrome (overview)

Advances in Gerontology = Uspekhi Gerontologii
A S Pushkin, V K Khavinson

Abstract

The overview describes the clinical features of acute coronary syndrome in patients of older age groups. Atypical symptoms present in this cohort very often. It associated with a worse prognosis, partly due to delays in diagnosis, treatment, and insufficiently substantiated drug therapy. Comorbidity is one of the important factors complicating the diagnosis of elderly patients. Frailty, hyperglycemia, anemia, and chronic kidney disease are comorbid conditions, it identify in patients of older age groups often. High-sensitive cardiac markers is especially important for the differential diagnosis of acute coronary syndrome without ST elevation in elderly patients, because sometimes echocardiography does not provide additional information for interpreting the clinical case and there are no significant diagnostic changes on the ECG.

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