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This book provides an in depth review of the current practice in treating elderly patients with coronary artery disease (CAD) as well as an update of the existing literature. It is intended to reflect the current science of elderly patients with stable angina, acute coronary syndromes and those patients who are forwarded for CAGB procedures. Evidence in the elderly patient group is often limited and/or non-existent therefore the main challenge, even for further research, will be to define the role of geriatric preconditions and its impact on outcome. A second topic will be to clarify how, if ever, existing cardiological outcome values like mortality can be applied to elderly patients or if other values like improvement of functional status or quality of life are more suitable parameters to measure interventional success in elderly patients. The role of pharmacotherapy in advanced age has to be discussed. These topics will be embedded in epidemiological, pathophysiological and ethical aspects of interventional treatment of CAD in older age.
List of contents
Epidemiology of interventional procedures.- Pathophysiology of the aging heart and its impact on interventional procedures.- The role of geriatric preconditions (frailty and disability) in elderly patients.- Comorbid burden and its impact on outcome.- Coronary interventions in stable CAD.- Coronary interventions in ACS.- CABG vs. PCI in elderly patients.- Non-coronary interventions in the elderly.- Pharmacotherapy in elderly patients.- Ethical aspects of coronary interventions in elderly and very elderly patients.
About the author
Harald Rittger, MD
Report
"Book fulfills its purpose of providing a deeper understanding of coronary artery disease in elderly patients using a simple, practical, and straightforward approach. ... useful for all personnel involved in elderly cardiac care, including practicing interventional cardiologists, general cardiologists, fellows, trainees, researchers, nurse practitioners, and house staff. ... provides step-by-step instructions on what to expect, what to do and how to do it, what to avoid, and how to manage, with valuable updates on safety requirements and current practice recommendations." (Fahad Javed, Doody's Book Reviews, March, 2016)
