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Epidemiology, Pathophysiology, and Management of Coronary Artery Disease in the Elderly

Journal

INTERNATIONAL JOURNAL OF ANGIOLOGY
Volume 31, Issue 4, Pages 244-250

Publisher

THIEME MEDICAL PUBL INC
DOI: 10.1055/s-0042-1751234

Keywords

elderly; aging; coronary artery disease; atherosclerosis; frailty; revascularization

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Elderly patients over the age of 75 years are highly susceptible to coronary artery disease (CAD) due to age being an important risk factor for atherosclerosis and a predictor of poorer outcomes. CAD is a major cause of mortality and morbidity in this population. Concerns about functional frailty, comorbidities, and patient preference for conservative or no treatment have led to a reduced interest in prospective studies in this high-risk group. This review provides an overview of the epidemiology, pathophysiology, and management of CAD in older adults.
Elderly patients over the age of >= 75 years are especially susceptible to coronary artery disease (CAD) as age is an important nonmodifiable risk factors for atherosclerosis and a predictor of poorer outcomes. In fact, CAD is a major cause of mortality and morbidity in this population. Due to concerns of functional frailty, comorbidities, and patient preference of conservative to no treatment have played a role in reducing the interest in pursuing prospective studies in this high-risk group. In this review, we provide an overview of the epidemiology, pathophysiology, and management of CAD in older adults.

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