Multiple Chronic Conditions in Older Adults with Acute Coronary Syndromes
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
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.
Acute coronary syndrome; Myocardial infarction (MI); Older adults; Multiple chronic conditions; Type 2 MI
Pharmacology and Toxicology
IdentifiersURN: urn:nbn:se:liu:diva-129169DOI: 10.1016/j.cger.2016.01.009ISI: 000376212700007PubMedID: 27113147OAI: oai:DiVA.org:liu-129169DiVA: diva2:936020