Multiple Chronic Conditions in Older Adults with Acute Coronary Syndromes.

Journal Article (Journal Article;Review)

Older adults presenting with acute coronary syndromes (ACSs) often have multiple chronic conditions (MCCs). In addition to traditional cardiovascular (CV) risk factors (ie, hypertension, hyperlipidemia, and diabetes), common CV comorbidities include heart failure, stroke, and atrial fibrillation, whereas prevalent non-CV comorbidities include chronic kidney disease, anemia, depression, and chronic obstructive pulmonary disease. The presence of MCCs affects the presentation (eg, increased frequency of type 2 myocardial infarctions [MIs]), clinical course, and prognosis of ACS in older adults. In general, higher comorbidity burden increases mortality following MI, reduces utilization of ACS treatments, and increases the importance of developing individualized treatment plans.

Full Text

Duke Authors

Cited Authors

  • Alfredsson, J; Alexander, KP

Published Date

  • May 2016

Published In

Volume / Issue

  • 32 / 2

Start / End Page

  • 291 - 303

PubMed ID

  • 27113147

Electronic International Standard Serial Number (EISSN)

  • 1879-8853

Digital Object Identifier (DOI)

  • 10.1016/j.cger.2016.01.009


  • eng

Conference Location

  • United States