Lookup NU author(s): Dr Hannah Sinclair,
Dr Vijay Kunadian
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With an ageing population, older patients with non-ST elevation acute coronary syndrome are at higher risk of adverse outcomes but are far less likely to receive invasive revascularisation, contemporary antiplatelet therapy or drug-eluting stents than their younger counterparts. Accurate risk stratification in the older age groups may aid individualised decision-making with respect to identifying which patients will benefit most from invasive revascularisation, but more research is needed in this field. Based on current knowledge in this field, it would be appropriate following risk stratification to offer optimal medical therapy plus invasive care to older patients at high risk of future cardiovascular events but at low risk of complications and to offer optimal medical therapy alone to those who are deemed low risk of future events with high risk of developing procedural complications and severely frail patients.
Author(s): Sinclair H, Kunadian V
Publication type: Review
Publication status: Published
Print publication date: 01/03/2016
Online publication date: 06/01/2016
Acceptance date: 14/11/2015
ISSN (print): 1355-6037
ISSN (electronic): 1468-201X
Publisher: BMJ PUBLISHING GROUP