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Cardiovascular Care for Older Adults
 
DOI:doi:10.11909/j.issn.1671-5411.2016.02.013
Stable ischemic heart disease in the older adults
Xuming DAI,Jan Busby-Whitehead,Daniel E Forman,Karen P Alexander.Stable Ischemic Heart Disease in the Older AdultsJ Geriatr Cardiol 2016,13(2):109~114
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Authors:Xuming DAI1;Jan Busby-Whitehead2;Daniel E Forman3;Karen P Alexander4

Author Affiliation:1.Division of Cardiology, University of North Carolina at Chapel Hill Chapel Hill, North Carolina, USA;2.Division of Geriatric Medicine, Center for Aging and Health, University of North Carolina at Chapel Hill, North Carolina, USA;3.Section of Geriatric Cardiology, University of Pittsburgh Medical Center, Geriatrics, Research, Education, and Clinical Center, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA;4.Division of Cardiology, Duke University Medical Center, Durham, North Carolina, USA

Foundation:

Abstract: Ischemic heart disease (IHD) is caused by atherosclerotic and/or thrombotic obstruction of coronary arteries. Clinical spectrum of IHD expands from asymptomatic atherosclerosis of coronary arteries to acute coronary syndromes (ACS) including unstable angina, acute myocardial infarction (non-ST elevation myocardial infarction and ST elevation myocardial infarction). Stable IHD (SIHD) refers to patients with known or suspected IHD who have no recent or acute changes in their symptomatic status, suggesting no active thrombotic process is underway. These patients include those with i) recent-onset or stable angina or ischemic equivalent symptoms, such as dyspnea or arm pain with exertion; ii) post-ACS stabilized after revascularization or medical therapy; and iii) asymptomatic IHD diagnosed by abnormal stress tests or imaging studies. This review summarizes clinical features and management of SIHD in the older adult. ACS in older adults is not considered in this review.

Keywords:

Aging; Coronary artery disease; Older adults; Risk assessment; Stable ischemic heart disease
Received:January 19, 2016        Accepted:February 09, 2016   Published Online:February 16, 2016
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