The elderly in acute coronary syndrome: the Malaysian National Cardiovascular Database-Acute Coronary Syndrome (NCVD-ACS) Registry

Singapore Medical Journal
Ahmad Syadi Mahmood ZuhdiSim Kui Hian

Abstract

The elderly are often under-represented in clinical trials for acute coronary syndrome (ACS) and cardiologists commonly face management dilemmas in the choice of treatment for this group of patients, particularly on whether invasive revascularisation should be used. This study analyses the characteristics of hospitalised elderly patients with ACS, and compares the outcomes of invasive and non-invasive treatment. From 29 December 2005 to 26 April 2010, 13,545 patients were admitted for ACS in 16 hospitals across Malaysia. These patients were divided into two groups - elderly (≥ 65 years) and non-elderly (< 65 years) patients. The clinical characteristics, treatment received (invasive or non-invasive) and outcomes (in-hospital and 30-day all-cause mortality) of these two groups were compared. The elderly patients were then grouped according to the type of treatment received, and the outcomes of these two groups were compared. The elderly had a higher cardiovascular risk burden and a higher incidence of comorbidities. They were less likely to receive urgent revascularisation for acute ST-segment elevation myocardial infarction (elderly: 73.9% vs. non-elderly: 81.4%) and had longer doorto-needle time (elderly: 60.0 minutes vs. non-...Continue Reading

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Citations

Aug 5, 2021·European Heart Journal·Nuccia MoriciStefano Savonitto

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