Non-ST-segment elevation acute coronary syndrome in elderly patients and long-livers. Features of treatment. Literature review and case report
https://doi.org/10.15829/1560-4071-2021-4524
Abstract
Despite the growing population of elderly people and long-livers every year, the treatment of acute coronary syndrome in these groups is not fully developed and is not regulated in clinical guidelines due to the lack of large randomized clinical trials. The article presents a literature review covering the following issues arising during clinical decision-making in the treatment of non-ST-segment elevation acute coronary syndrome in this group of patients: selection of invasive treatment strategy, scope of myocardial revascularization, appointment of dual antiplatelet therapy taking into account the bleeding risk, decreased renal function and senile asthenia. In addition, a case report of successful treatment of a 101-year-old female patient with non-ST-segment elevation myocardial infarction, who underwent percutaneous coronary intervention with stenting of infarct-related artery, was presented.
About the Authors
R. G. Gulyan
National Medical Research Center of Cardiology
Russian Federation
Competing Interests:
Russian Federation
Rimma G. Gulyan - Resident of the Emergency Cardiology Department.
Moscow.
Competing Interests:
No
A. M. Ushanova
National Medical Research Center of Cardiology
Russian Federation
Competing Interests:
Russian Federation
Alina M. Ushanova - Resident of the Emergency Cardiology Department.
Moscow.
Competing Interests:
No
Y. K. Rytova
National Medical Research Center of Cardiology
Russian Federation
Competing Interests:
Russian Federation
Yulia K. Rytova - Resident of the Emergency Cardiology Department.
Moscow.
Competing Interests:
No
D. V. Pevsner
National Medical Research Center of Cardiology
Russian Federation
Competing Interests:
Russian Federation
Dmitriy V. Pevzner - Ph.D. of Medical Sciences, Head of the ICU Department.
Moscow.
Competing Interests:
No
E. V. Merkulov
National Medical Research Center of Cardiology
Russian Federation
Competing Interests:
Russian Federation
Evgeniy V. Merkulov - Doctor of Medical Science, Head of the the 1-st Department of X-ray diagnostic and treatment methods.
Moscow.
Competing Interests:
No
S. A. Boytsov
National Medical Research Center of Cardiology
Russian Federation
Competing Interests:
Russian Federation
Sergey A. Boytsov - General Director, Member of Russian Academy of Sciences, Doctor of Medical Science, Prof., Lead Clinician for Cardiology in Central, Ural, Siberian and Far-Eastern Federal Districts.
Moscow.
Competing Interests:
No
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For citations:
Gulyan R.G., Ushanova A.M., Rytova Y.K., Pevsner D.V., Merkulov E.V., Boytsov S.A. Non-ST-segment elevation acute coronary syndrome in elderly patients and long-livers. Features of treatment. Literature review and case report. Russian Journal of Cardiology. 2021;26(11):4524. (In Russ.) https://doi.org/10.15829/1560-4071-2021-4524
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