THERAPEUTIC AND PREVENTIVE STRATEGIES IN ACUTE CORONARY SYNDROME IN OLDER PEOPLE
Journal Title: Българско списание за обществено здраве (Bulgarian Journal of Public Health) - Year 2016, Vol 0, Issue 3
Abstract
The aim of this review is to summarize published materials from various sources on the preventive and therapeutic strategies for acute coronary syndrome (ACS) in adults by using methods of collecting, processing, analyzing and summing up the information published in scientific journals, monographs, collections, and Internet. Literary communications concerning data on risk/benefit in the treatment of older patients with ACS are limited. It was found that in patients with ACS the risk of cardiovascular adverse events such as sudden cardiac death, myocardial infarction and heart failure, it is essential in patients aged over 75 years. In elderly patients ACS occurs with specific characteristics. Although some studies have described effects of treatment in elderly patients, in others - continue to exclude patients based on age. It is necessary to identify areas that warrant further prospective studies among the treated population in order to determine the risks and benefits of the methods of diagnosis and treatment strategies in adult patients with ACS, depending on their particular circumstances. Although the development and implementation of a unified behavioral approach in adult patients with ACS is unlikely a single algorithm for behavior in adult patients for therapeutic strategies applied to them and reducing the risks for treatment to a minimum, it is absolutely necessary to increase benefits, put in the context of patients’ health.
Authors and Affiliations
Valentin Balabanski, Iliyana Yaneva
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