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Review Papers | Medical Surgical | India | Volume 13 Issue 11, November 2024 | Rating: 6.2 / 10
Optimizing Outcomes in Elderly MI Patients: A Comprehensive Review of Invasive Management
Sirasani Tapaswi, Bhupathi Sravani
Abstract: Cardiovascular disease increasingly impacts elderly, and cases of non - ST - segment elevation myocardial infarction (NSTEMI) are projected to increase as the populace ages. However, clear management guidelines for elderly remain limited. The SENIOR - RITA trial evaluated the effects of invasive versus medical therapy in 1, 518 NSTEMI patients aged 75 and older. After up to five years of follow - up, results showed that invasive treatment did not significantly improve long - term outcomes in terms of mortality or nonfatal heart attacks compared to conservative management, though it offered a small short - term benefit. These findings suggest that a conservative approach may be just as effective for managing NSTEMI in geriatrics.
Keywords: Invasive treatment, Myocardial Infarction, non-ST segment elevation myocardial infarction (NSTEMI), acute coronary syndrome, angiography, revascularization, percutaneous coronary intervention
Edition: Volume 13 Issue 11, November 2024,
Pages: 670 - 671