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Multiple Chronic Conditions in Older Adults with Acute Coronary Syndromes
Linköping University, Department of Medical and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Cardiology in Linköping. Linköping University, Faculty of Medicine and Health Sciences. Duke University, NC 27710 USA.
Duke University, NC 27710 USA.
2016 (English)In: Clinics in Geriatric Medicine, ISSN 0749-0690, E-ISSN 1879-8853, Vol. 32, no 2, 291-+ p.Article in journal (Refereed) PublishedText
Abstract [en]

Older adults presenting with acute coronary syndromes (ACSs) often have multiple chronic conditions (MCCs). In addition to traditional cardiovascular (CV) risk factors (ie, hypertension, hyperlipidemia, and diabetes), common CV comorbidities include heart failure, stroke, and atrial fibrillation, whereas prevalent non-CV comorbidities include chronic kidney disease, anemia, depression, and chronic obstructive pulmonary disease. The presence of MCCs affects the presentation (eg, increased frequency of type 2 myocardial infarctions [MIs]), clinical course, and prognosis of ACS in older adults. In general, higher comorbidity burden increases mortality following MI, reduces utilization of ACS treatments, and increases the importance of developing individualized treatment plans.

Place, publisher, year, edition, pages
W B SAUNDERS CO-ELSEVIER INC , 2016. Vol. 32, no 2, 291-+ p.
Keyword [en]
Acute coronary syndrome; Myocardial infarction (MI); Older adults; Multiple chronic conditions; Type 2 MI
National Category
Pharmacology and Toxicology
Identifiers
URN: urn:nbn:se:liu:diva-129169DOI: 10.1016/j.cger.2016.01.009ISI: 000376212700007PubMedID: 27113147OAI: oai:DiVA.org:liu-129169DiVA: diva2:936020
Available from: 2016-06-13 Created: 2016-06-13 Last updated: 2016-06-13

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Alfredsson, Joakim
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Department of Medical and Health SciencesDepartment of Cardiology in LinköpingFaculty of Medicine and Health Sciences
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