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Abstract

In the light of the existing data, older patients presenting with an acute coronary syndrome (ACS) in general have a broader spectrum of clinical presentation and higher complication rates when undergoing treatment, either interventionally or conservatively. Presumably due to the fear of complications and in combination with an uncertainty about the possible success of such an intervention, the use of invasive diagnostic and therapeutic procedures decreases with increasing age.

These patients should not be treated differently from younger patients, since they gain the greatest benefit from interventional treatment. However, more caution evaluating benefits and risks of usual therapies should be applied. The consideration of remaining life expectancy, quality of life and patient preferences and values is more important for clinical decision making than in younger patients.

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Correspondence to Harald Rittger MD .

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Rittger, H. (2015). PCI in Elderly Patients with ACS. In: Rittger, H. (eds) Interventional Cardiology in the Elderly. Springer, Cham. https://doi.org/10.1007/978-3-319-21142-8_6

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  • DOI: https://doi.org/10.1007/978-3-319-21142-8_6

  • Publisher Name: Springer, Cham

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