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Contextualizing Myocardial Infarction: Comorbidities and Priorities in Older Adults.

Publication ,  Journal Article
Krishnaswami, A; Maurer, MS; Alexander, KP
Published in: Am J Med
October 2017

Cardiovascular care for older adults has become increasingly complex owing to a rise in the concurrent comorbidity burden that accompanies senescence. Internists, hospitalists, and cardiologists often encounter geriatric patients with multiple chronic conditions needing acute cardiovascular care. Abnormal cardiac biomarker levels in patients with multiple noncardiac conditions are a common reason for older adults to enter the hospital. This type of acute coronary syndrome, defined as a non-ST segment elevation myocardial infarction or, more precisely, type 2 myocardial infarction, often leads to substantial consternation. Although guideline-based single-disease care may be appropriate in younger individuals, a more cautious approach is needed when considering optimal care strategies for older adults. We discuss a case of an older adult presenting with type 2 myocardial infarction, to highlight a modern-day approach that requires a deliberate shift from an evidence-based focus to a more value-based geriatric mindset.

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Published In

Am J Med

DOI

EISSN

1555-7162

Publication Date

October 2017

Volume

130

Issue

10

Start / End Page

1144 / 1147

Location

United States

Related Subject Headings

  • Non-ST Elevated Myocardial Infarction
  • Myocardial Infarction
  • Humans
  • General & Internal Medicine
  • Female
  • Comorbidity
  • Aged, 80 and over
  • Aged
  • Acute Coronary Syndrome
  • 42 Health sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Krishnaswami, A., Maurer, M. S., & Alexander, K. P. (2017). Contextualizing Myocardial Infarction: Comorbidities and Priorities in Older Adults. Am J Med, 130(10), 1144–1147. https://doi.org/10.1016/j.amjmed.2017.05.043
Krishnaswami, Ashok, Mathew S. Maurer, and Karen P. Alexander. “Contextualizing Myocardial Infarction: Comorbidities and Priorities in Older Adults.Am J Med 130, no. 10 (October 2017): 1144–47. https://doi.org/10.1016/j.amjmed.2017.05.043.
Krishnaswami A, Maurer MS, Alexander KP. Contextualizing Myocardial Infarction: Comorbidities and Priorities in Older Adults. Am J Med. 2017 Oct;130(10):1144–7.
Krishnaswami, Ashok, et al. “Contextualizing Myocardial Infarction: Comorbidities and Priorities in Older Adults.Am J Med, vol. 130, no. 10, Oct. 2017, pp. 1144–47. Pubmed, doi:10.1016/j.amjmed.2017.05.043.
Krishnaswami A, Maurer MS, Alexander KP. Contextualizing Myocardial Infarction: Comorbidities and Priorities in Older Adults. Am J Med. 2017 Oct;130(10):1144–1147.
Journal cover image

Published In

Am J Med

DOI

EISSN

1555-7162

Publication Date

October 2017

Volume

130

Issue

10

Start / End Page

1144 / 1147

Location

United States

Related Subject Headings

  • Non-ST Elevated Myocardial Infarction
  • Myocardial Infarction
  • Humans
  • General & Internal Medicine
  • Female
  • Comorbidity
  • Aged, 80 and over
  • Aged
  • Acute Coronary Syndrome
  • 42 Health sciences