MANAGEMENT OF ACUTE MYOCARDIAL-INFARCTION IN THE VERY ELDERLY

被引:21
作者
FORMAN, DE
BERNAL, JLG
WEI, JY
机构
[1] W ROXBURY BROCKTON VET AFFAIRS MED CTR, CTR GERIATR RES EDUC & CLIN, BOSTON, MA USA
[2] BETH ISRAEL HOSP, CHARLES A DANA RES INST, BOSTON, MA 02215 USA
[3] HARVARD UNIV, BETH ISRAEL HOSP, THORNDIKE LAB, BOSTON, MA 02215 USA
[4] HARVARD UNIV, SCH MED, BOSTON, MA 02115 USA
[5] BETH ISRAEL HOSP, DEPT MED, 330 BROOKLINE AVE, BOSTON, MA 02215 USA
关键词
D O I
10.1016/0002-9343(92)90240-C
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Coronary artery disease is highly prevalent among the elderly, and the incidence of myocardial infarction (MI) is high. Still, the notion of optimal treatment for the elderly patient with MI remains unclear. This review will first discuss some of the characteristics of the aging myocardium that impact on the care of elderly cardiac patients. Next, the therapeutic options and their appropriateness for the aged patient are presented. Thrombolytic and beta-blocker therapies are reviewed extensively since they remain among the controversial issues in geriatric cardiology. Other well-known as well as experimental therapies are also discussed.
引用
收藏
页码:315 / 326
页数:12
相关论文
共 156 条
[1]   EXERCISE HEMODYNAMICS AND MYOCARDIAL-METABOLISM DURING LONG-TERM BETA-ADRENERGIC-BLOCKADE IN SEVERE HEART-FAILURE [J].
ANDERSSON, B ;
BLOMSTROMLUNDQVIST, C ;
HEDNER, T ;
WAAGSTEIN, F .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1991, 18 (04) :1059-1066
[2]  
[Anonymous], 1987, Lancet, V2, P871
[3]  
[Anonymous], 1988, LANCET, V2, P349
[4]  
[Anonymous], 1986, LANCET, V1, P397
[5]  
[Anonymous], 1989, NEW ENGL J MED, V320, P618
[6]  
[Anonymous], 1986, LANCET, V2, P57
[7]  
[Anonymous], 1980, CIRCULATION, V62, P449
[8]   ACUTE MYOCARDIAL-INFARCTION IN ELDERLY PATIENTS [J].
APPLEGATE, WB ;
GRAVES, S ;
COLLINS, T ;
VANDERZWAAG, R ;
AKINS, D .
SOUTHERN MEDICAL JOURNAL, 1984, 77 (09) :1127-1129
[9]   CORONARY-ARTERY BYPASS OPERATION IN SEPTUAGENARIANS [J].
BERRY, BE ;
ACREE, PW ;
DAVIS, DJ ;
SHEELY, CH ;
CAVIN, S .
ANNALS OF THORACIC SURGERY, 1981, 31 (04) :310-313
[10]   HOW DISTURBING ARE SIDE-EFFECTS OF BETA-BLOCKERS [J].
BESTERMAN, EMM .
EUROPEAN HEART JOURNAL, 1983, 4 :143-145