TITLE:
Acute Coronary Syndrome in the Elderly: Assessment of Risk Factors, Management Strategies and Complications
AUTHORS:
Glodie Dimbu Kiadi, Adolphe Mukombola Kasongo, Hervé Libérus Ayewanou Edorh, Victor Buzura, Pascal Goube, Jean René M’Buyamba-Kabangu
KEYWORDS:
ACS, Elderly, Angioplasty, Prognosis, Death
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.15 No.2,
February
26,
2025
ABSTRACT: Background: ACS is a leading cause of mortality worldwide, but it is unknown whether the advanced age of patients constitutes a prognostic factor. Objective: The present study compared the burden of risk factors and the prognosis of ACS in older and younger patients in order to improve their management. Methods. A retrospective analysis of a series of ACS patients admitted from January to December 2022 to intensive care unit of the cardiology department at the South Francilian Hospital Center. Results: The files of 551 patients including 60 elderly subjects (10.9%) were analyzed. Average age was 81.7 ± 6.1 years for the elderly, 54.5 ± 11.9 years for the younger patients. Men predominated in both age categories (p = 0.014) and were older than women (59.2 ± 14.3 vs 53.1 ± 13.2 years; p = 0.014). Obesity (p = 0.007), smoking (p = 0.002) and dyslipidemia (p = 0.022) were the cardiovascular risk factors found more in elderly patients, hypertension (p