Authors: Dubin, Joseph; Cutlip, Donald E

Source: Aging Health, Volume 3, Number 1, February 2007 , pp. 105-114(10)

Publisher: Future Medicine

Abstract:

The aim of this review is to present current trends and outcomes among elderly patients undergoing coronary stenting for treatment of symptomatic coronary artery disease. Elderly patients are at higher risk for morbidity and mortality after coronary revascularization procedures. Acute and long-term outcomes relative to increased baseline risk factors and other competing mortality risks are reviewed for stenting and the alternatives of medical or surgical treatment. Improvement in quality of life is discussed as an outcome that some have regarded as more germane than simple survival in this population. Caution is urged for the often avoidable complications related to vascular injury, bleeding and contrast nephropathy, which are more common in the elderly after stenting and are independently associated with increased mortality. The authors also review the increasing relevance of coronary stent outcomes among the elderly in the context of the newer drug-eluting stents that have revolutionized percutaneous revascularization strategies.

Keywords: angina; coronary stent; elderly; myocardial infarction

Document Type: Research article

DOI: http://dx.doi.org/10.2217/1745509X.3.1.105

Affiliations: 1: 1Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA.

Publication date: 2007-02-01

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• Aging Health leading coverage of current and emerging topics relating to the safe and effective management of therapy in the elderly, all subject to rigorous peer review. The journal focuses on the most important advances and highlights their relevance in the clinical setting. The journal has been designed to deliver essential concise information in an easily assimilable format - vital for the increasingly time-constrained professional.
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