Review of the treatment of acute coronary syndrome in elderly patients

Clin Interv Aging. 2009;4:435-44. doi: 10.2147/cia.s3035. Epub 2009 Nov 18.


Advances in treatment and early revascularization have led to improved outcomes for patients with acute coronary syndrome (ACS). However, elderly ACS patients are less likely to receive evidence-based treatment, including revascularization therapy, due to uncertainty of the associated benefits and risks in this population. This article addresses key issues regarding medical and revascularization therapy in elderly ACS patients based on a review of the medical literature and in concordance with clinical practice guidelines from the American Heart Association (AHA) and the American College of Cardiology (ACC).

Keywords: acute coronary syndrome; medical therapy; revascularization.

Publication types

  • Review

MeSH terms

  • Acute Coronary Syndrome / drug therapy*
  • Acute Coronary Syndrome / physiopathology
  • Acute Coronary Syndrome / surgery*
  • Aged
  • Evidence-Based Medicine
  • Humans
  • Myocardial Revascularization
  • Practice Guidelines as Topic
  • United States