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Int J Angiol 2022; 31(04): 244-250
DOI: 10.1055/s-0042-1751234
Invited Article

Epidemiology, Pathophysiology, and Management of Coronary Artery Disease in the Elderly

Kahtan Fadah
1   Department of Internal Medicine, Texas Tech University Health Sciences Center, El Paso, Texas
,
Aimee Hechanova
1   Department of Internal Medicine, Texas Tech University Health Sciences Center, El Paso, Texas
,
Debabrata Mukherjee 
2   Division of Cardiology, Department of Internal Medicine, Texas Tech University Health Sciences Center, El Paso, Texas
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Abstract

Elderly patients over the age of ≥ 75 years are especially susceptible to coronary artery disease (CAD) as age is an important nonmodifiable risk factors for atherosclerosis and a predictor of poorer outcomes. In fact, CAD is a major cause of mortality and morbidity in this population. Due to concerns of functional frailty, comorbidities, and patient preference of conservative to no treatment have played a role in reducing the interest in pursuing prospective studies in this high-risk group. In this review, we provide an overview of the epidemiology, pathophysiology, and management of CAD in older adults.

Keywords

elderly - aging - coronary artery disease - atherosclerosis - frailty - revascularization


Publication History

Article published online:
25 August 2022

© 2022. International College of Angiology. This article is published by Thieme.

Thieme Medical Publishers, Inc.
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