IMR Press / RCM / Special Issues / 1612162135360

Acute Coronary Syndromes in the Octogenarians

Submission deadline: 30 September 2021
Special Issue Editor
Manuel Martínez-Sellés, MD, PhD
Cardiology Service, Hospital Universitario Gregorio Marañón, Madrid, Spain; Faculty of Medicine, Complutense University of Madrid, Madrid, Spain
Interests: geriatric cardiology; heart failure; Acute Coronary Syndromes; aortic stenosis
Special Issue and Collections in IMR journals
Special Issue Information

Dear Colleagues,

Acute Coronary Syndromes (ACS) in Octogenarians are a clinical challenge. The evidence of pharmacological treatments and of invasive approach is less robust than in patients younger than 80 years. Octogenarians have a high incidence of ACS. Moreover, globally, the population aged 80 and over is growing faster than all other age groups. However, octogenarians are seldom included in clinical trails. Moreover, when included, they are usually a highly-selected sample that does not represent elderly patients, with frequent comorbidity and frailty, seen in every-day practice. Octogenarians often sustain a poor outcome after an ACS due to several reasons including atypical presentation and delay in recognition, under treatment and ageism, and the presence of other conditions. Octogenarians commonly do not receive optimal guideline-directed ACS treatment. They have a high baseline risk both of ischemic complications and bleeding events, and also fare worse even with optimal treatment and are more vulnerable to medical errors and drug side-effect. Also, the elderly frequently have more complex and severe coronary disease and a higher rate of treatment complications. Appropriate management of these patients is only possible with a correct comprehensive geriatric assessment elderly that should include the evaluation of frailty, comorbidity, quality of life, cognitive impairment, goals of care, and individual preferences. As the population continues to age, physicians will be confronted with an increasing number of octogenarian with ACS, it is imperative to prepare to assess the overall health status of these patients, and to predict their life expectancy and the tolerance of treatments.

Dr. Manuel Martínez-Sellés

Guest Editor

Keywords
Acute Coronary Syndrome
Octogenarian
Elderly
Cardiovascular disease
Manuscript Submission Information

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Published Paper (6 Papers)
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Open Access Review
Ethical considerations in elderly patients with acute coronary syndrome
Ana Ayesta, Clara Bonanad, Pablo Díez-Villanueva, Sergio García-Blas, ... Manuel Martínez-Sellés
Rev. Cardiovasc. Med. 2022, 23(2), 55; https://doi.org/10.31083/j.rcm2302055
(This article belongs to the Special Issue Acute Coronary Syndromes in the Octogenarians)
40
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243
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Open Access Review
Management strategy of non-ST segment elevation acute coronary syndromes in octogenarians: a call for a personalized approach
Jorge Martínez-Solano, Andrés Alonso-García, Sara Álvarez-Zaballos, Manuel Martínez-Sellés
Rev. Cardiovasc. Med. 2021, 22(4), 1205–1214; https://doi.org/10.31083/j.rcm2204129
(This article belongs to the Special Issue Acute Coronary Syndromes in the Octogenarians)
53
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160
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Open Access Original Research
A simple combination of biomarkers for risk stratification in octogenarians with acute myocardial infarction
Esther Sanz-Girgas, Óscar M. Peiró, Gil Bonet, Judit Rodríguez-López, ... Alfredo Bardají
Rev. Cardiovasc. Med. 2021, 22(4), 1711–1720; https://doi.org/10.31083/j.rcm2204179
(This article belongs to the Special Issue Acute Coronary Syndromes in the Octogenarians)
28
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132
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Open Access Review
Non-ST segment elevation myocardial infarction in the elderly
César Jiménez-Méndez, Pablo Díez-Villanueva, Fernando Alfonso
Rev. Cardiovasc. Med. 2021, 22(3), 779–786; https://doi.org/10.31083/j.rcm2203084
(This article belongs to the Special Issue Acute Coronary Syndromes in the Octogenarians)
145
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1
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Open Access Original Research
Long term prognostic benefit of complete revascularization in elderly presenting with NSTEMI: real world evidence
Rosa Agra-Bermejo, Alberto Cordero, Pedro Rigueiro Veloso, Diego Iglesias Álvarez, ... Jose M García Acuña
Rev. Cardiovasc. Med. 2021, 22(2), 475–482; https://doi.org/10.31083/j.rcm2202054
(This article belongs to the Special Issue Acute Coronary Syndromes in the Octogenarians)
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