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Early versus late delayed percutaneous coronary intervention in elderly patients with ST-segment elevation myocardial infarction
CONCLUSION: Early delayed PCI (12-48 h from symptom onset), for elderly patients with STEMI who present > 12 h after symptom onset is not associated with better long-term clinical outcomes compared with late delayed PCI (48 h-28 days).PMID:37171538 | DOI:10.1007/s40520-023-02417-8
Source: Aging Clinical and Experimental Research - May 12, 2023 Category: Geriatrics Authors: Jiachun Lang Chen Wang Jingxia Zhang Yuecheng Hu Lin Wang Yin Liu Rongdi Xu Jikun Wu Wei Qi Chunwei Liu Wenyu Li Tingting Li Dongxia Jin Ao Wei Le Wang Hongliang Cong Source Type: research

Outcomes of Coronary Artery Bypass Graft Surgery Versus Drug ‐Eluting Stents in Older Adults
ConclusionOlder adults age 70 to 89 years with left main or multivessel CAD who participated in the BEST, PRECOMBAT, and SYNTAX trials; compared to PCI, CABG was associated with lower risk of primary outcome which was mostly driven by lower risk of myocardial infarction.
Source: Journal of the American Geriatrics Society - February 5, 2017 Category: Geriatrics Authors: Mineok Chang, Cheol Whan Lee, Jung ‐Min Ahn, Rafael Cavalcante, Yohei Sotomi, Yoshinobu Onuma, Duk‐Woo Park, Soo‐Jin Kang, Seung‐Whan Lee, Young‐Hak Kim, Seong‐Wook Park, Patrick W. Serruys, Seung‐Jung Park Tags: Aging & Surgery Source Type: research

Acute coronary syndrome in elderly – What is the place for invasive strategy?
Conclusion In elderly patients with ACS, an invasive strategy was associated with short and long-term survival advantage. The predictors for invasive intervention are STEMI, previous PCI, sinus rhythm and haemoglobin at admission.
Source: European Geriatric Medicine - August 16, 2016 Category: Geriatrics Source Type: research

Can elderly patients without risk factors be discharged home when presenting to the emergency department with syncope?
Abstract: Age is often a predictor for morbidity and mortality. Although we previously proposed risk factors for adverse outcome in syncope, after accounting for the presence of these risk factors, it is unclear whether age is an independent risk factor for adverse outcomes in syncope. Our objective was to determine whether age is an independent risk factor for adverse outcome following a syncopal episode. We conducted a prospective, observational study enrolling consecutive patients with syncope. Adverse outcome/critical intervention included hemorrhage, myocardial infarction/percutaneous coronary intervention, dysrhythmi...
Source: Archives of Gerontology and Geriatrics - August 29, 2013 Category: Geriatrics Authors: Shamai A. Grossman, David Chiu, Lewis Lipsitz, J. Lawrence Mottley, Nathan I. Shapiro Source Type: research