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American College of Cardiology

Elderly patients can benefit from selective use of early revascularization

Published in Gastroenterology Week, March 2nd, 2009

The elderly represent a growing proportion of patients presenting with acute myocardial infarction (MI) complicated by cardiogenic shock (CS). CS occurs when the heart fails to supply enough blood to the organs of the body, and remains the most common cause of death after heart attack among people 75 years of age and older. Proper selection of older patients for invasive management of heart disease remains a serious medical challenge, especially as the elderly are frequently underrepresented in or excluded from clinical trials.

In a study published in the February 2009 issue of JACC: Cardiovascular Interventions, researchers found the one-year survival of elderly...

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