Management of elderly patients with a non-ST-segment-elevation acute coronary syndrome

Gimbel, Marieke E.; Berg, Jürrien M. ten

doi:10.1007/s12471-017-1002-3

Cited by 8 publications

(4 citation statements)

References 52 publications

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“…Our study included 305 patients with NSTEMI whose mean age was 70.62 ± 11.05 years CI 95% (69.28 -71.77) confirming the presence of non-ST-segment elevation myocardial infarction at older age [7][8][9][10][11] being more than 5 years old for women (73.36 ± 10.05 years) than for males (68.3 ± 11.32 years).…”

Section: Resultsmentioning

confidence: 88%

Assessing the Risk Factors of Patients with Non-ST-Segment Elevation Myocardial Infarction

Gheorman¹,

Dinescu²,

Schenker³

et al. 2019

Rev. Chim.

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Section: Resultsmentioning

confidence: 88%

Assessing the Risk Factors of Patients with Non-ST-Segment Elevation Myocardial Infarction

Gheorman¹,

Dinescu²,

Schenker³

et al. 2019

Rev. Chim.

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“…Although PCI can be used to immediately restart coronary circulation, it may also result in complications, particularly in frail older adult patients with many comorbidities (Gimbel & ten Berg, 2017; Kumar et al, 2020), and this is the reason such patients sometimes decline PCI (Negers et al, 2017; O’Neill et al, 2016). Thus, risk assessment—accounting for age, symptoms, vital signs, biomarkers, and electrocardiogram presentation—is always the first step toward assessing global risk in patients with NSTEMI (Gimbel & ten Berg, 2017; Y. H. Li et al, 2018).…”

Section: Analysis Of the Problemmentioning

confidence: 99%

Ethical Challenges of Nonreading Older Adult Women’s Autonomy in Receiving Percutaneous Coronary Intervention Under Familial Paternalism in Taiwan

2021

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In the context of familial paternalism in Taiwan, nonreading older adult women (NOAWs) may passively disengage from treatment and submit to the decisions of their families. The purposes of this case study were to examine the ethical conflicts regarding the autonomy of hospitalized NOAWs receiving percutaneous coronary intervention in a cultural environment of familial paternalism and to propose a theoretical framework based on a literature review to resolve the ethical challenges specific to this cultural context. The proposed framework “Nursing advocacy model for engaging NOAWs with their medical treatment” was established on the basis of relational ethics, nursing advocacy, and shared decision making. Our argument does not question traditional Chinese cultural values. Instead, we advocate for NOAWs to engage with their treatment, express their preferences, and communicate with their families in a decision-making process that incorporates mutual respect and understanding within the context of Chinese culture.

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“…В исследовании M. E. Gimbel и соавт. установлено преимущество введения фондапаринукса и болюсного нефракционированного гепарина у пациентов с ОКСбпST старшего возраста, подвергающихся ЧКВ [23]. По мнению S. Yusuf и соавт., фондапаринукс (2,5 мг / сут) также является антикоагулянтом выбора у пожилых пациентов с ОКСбпST, которым показано консервативное лечение, в то время как эноксапарин требует более тщательного и осторожного титрования дозы [24].…”

Section: антикоагулянтная терапияunclassified

Acute coronary syndrome in elderly: aspects of patient management

et al. 2019

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Coronary heart disease is the leading cause of death worldwide. Over the past few decades, life expectancy has increased, which has led to an aging population in developed countries, so the average age of patients with acute coronary syndrome (ACS) has steadily increased in recent decades. The inclusion of elderly and senile patients in randomized clinical trials does not reflect the age-related association of these diseases. However, antithrombotic therapy and interventional treatment are the basis of treatment in patients with ACS of any age, including the elderly. For older patients, there may be a mismatch between chronological and biological age. The question of how close the treatment of elderly patients with ACS is to the level of current recommendations and whether it is possible to apply them unconditionally in this group of patients does not have a definite answer. Current recommendations and the underlying randomized clinical trials are focused on any one disease, whereas in the elderly in most cases multimorbid pathology occurs. In general, elderly patients with ACS should be treated using the same methods as younger patients, however, the presence of comorbid diseases in an elderly patient naturally increases the risk of complications, makes the patient’s prognosis heavier, significantly affects treatment tactics, limits the possibility of using conventional approaches when choosing a drug therapy.

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Management of elderly patients with a non-ST-segment-elevation acute coronary syndrome

Cited by 8 publications

References 52 publications

Assessing the Risk Factors of Patients with Non-ST-Segment Elevation Myocardial Infarction

Assessing the Risk Factors of Patients with Non-ST-Segment Elevation Myocardial Infarction

Ethical Challenges of Nonreading Older Adult Women’s Autonomy in Receiving Percutaneous Coronary Intervention Under Familial Paternalism in Taiwan

Acute coronary syndrome in elderly: aspects of patient management

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