Resumo

TREJO-NAVA, Carlos Alberto. Considerations for the management of coronary arterial disease of the elderly. Rev. Mex. Cardiol [online]. 2014, vol.25, n.2, pp.86-108. ISSN 0188-2198.

The population pyramid shows a shift towards groups increasingly elderly and the coronary artery disease continues to occupy one of the top causes of death worldwide, we expect an increasing number of elderly patients with ischemic heart disease in our daily practice. The senile patient is commonly excluded from clinical research, so the evidence for its management is small or supposed from the results of the general population. Older adults have specific physiological characteristics and pathophysiology, they are "complex" cases for diagnostic and therapeutic approach, but they also show a high co-morbid conditions which enhances the challenge that we have, because we must not only focus on the heart, but also in the hepatic, renal, neurological, and other functions; without losing sight of the quality of life, drug interactions and emotional state of elderly patients. It is therefore of great interest to know and share the specifics (based on current evidence) of elderly patients with coronary artery disease to improve their attention and perhaps stimulate the development of new research.

Palavras-chave : Coronary artery disease; myocardial infarction; angina pectoris; elderly; treatment.