Which coronary revascularization method should be applied to patients aged over 80 years?

Patrick C. Chenu Published in the journal : December 2016 Category : Cardiology

Summary :

There is only little evidence regarding coronary revascularization carried out in octogenarians. Several randomized studies have been conducted, yet being mostly old and obsoletes. More recent randomized clinical trials that underlie the current recommendations have included either no or only a few patients aged over 80 years, specifically excluding those patients who were frail whilst exhibiting numerous comorbidities. We must thus use our clinical common sense when extrapolating the published findings to older patients at medico-surgical meeting, involving anesthesiologists and intensivists. In all cases, a geriatric assessment should be systematically performed.

Key Words

Coronary revascularization, patients aged over 80 years