Pharmacotherapy for Coronary Artery Disease and Acute Coronary Syndrome in the Aging Population

Errol Moras, Syed Zaid, Kruti Gandhi, Nitin Barman, Yochai Birnbaum, Salim S. Virani, Jacqueline Tamis-Holland, Hani Jneid, Chayakrit Krittanawong

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of Review: To provide a comprehensive summary of relevant studies and evidence concerning the utilization of different pharmacotherapeutic and revascularization strategies in managing coronary artery disease and acute coronary syndrome specifically in the older adult population. Recent findings: Approximately 30% to 40% of hospitalized patients with acute coronary syndrome are older adults, among whom the majority of cardiovascular-related deaths occur. When compared to younger patients, these individuals generally experience inferior clinical outcomes. Most clinical trials assessing the efficacy and safety of various therapeutics have primarily enrolled patients under the age of 75, in addition to excluding those with geriatric complexities. Summary: In this review, we emphasize the need for a personalized and comprehensive approach to pharmacotherapy for coronary heart disease and acute coronary syndrome in older adults, considering concomitant geriatric syndromes and age-related factors to optimize treatment outcomes while minimizing potential risks and complications. In the realm of clinical practice, cardiovascular and geriatric risks are closely intertwined, with both being significant factors in determining treatments aimed at reducing negative outcomes and attaining health conditions most valued by older adults.

Original languageEnglish (US)
JournalCurrent Atherosclerosis Reports
DOIs
StateAccepted/In press - 2024

Keywords

  • Acute coronary syndromes
  • Coronary artery disease
  • Older adults
  • Pharmacotherapy
  • Revascularization

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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