Elective percutaneous coronary intervention in the elderly patient

Johnman, C., Oldroyd, K.G. and Pell, J.P. (2011) Elective percutaneous coronary intervention in the elderly patient. Aging Health, 7(2), pp. 271-281. (doi: 10.2217/AHE.11.13)

Abstract

Elderly patients account for an increasing number and proportion of patients requiring management of coronary artery disease. Whilst medical therapy remains the cornerstone of management, percutaneous coronary intervention (PCI) has been shown to improve symptoms of angina and quality of life in elderly patients. PCI is now a routine treatment for both acute and chronic coronary artery disease. In the last decade, a series of technological and therapeutic developments have reduced in-hospital complications following PCI. The transradial approach is associated with fewer vascular complications, reduced bed utilization and reduced time to ambulation. This has facilitated the introduction and expansion of outpatient PCI, which has been shown to be safe and effective in elderly patients. This article reviews the rationale for outpatient PCI in the elderly and the evidence for its effectiveness and safety.

• Item Type: Articles
• Additional Information: Reproduced from Aging Health, April 2011, Vol. 7, No. 2, Pages 271-281 with permission of Future Medicine Ltd
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Oldroyd, Dr Keith and Johnman, Dr Cathy and Pell, Professor Jill
• Authors: Johnman, C., Oldroyd, K.G., and Pell, J.P.
• Subjects: R Medicine > RA Public aspects of medicine
• College/School: College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Public Health; College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing; College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health
• Journal Name: Aging Health
• Publisher: Future Medicine
• ISSN: 1745-509X
• Copyright Holders: Copyright © 2011 Future Medicine Ltd
• First Published: First published in Aging Health 7(2):271-281
• Publisher Policy: Reproduced with the permission of the publisher