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Percutaneous Coronary Intervention in the Elderly

  • Chapter
Cardiovascular Disease in the Elderly

Part of the book series: Contemporary Cardiology ((CONCARD))

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Abstract

Cardiovascular disease (CVD) has been the number one cause of death each year in America since 1900, except for 1918, the year of the Spanish flu pandemic. As the population—particularly the baby-boomer generation—ages, this statistic is unlikely to change. The segment of the population that is older than age 80 is growing more rapidly and is living longer than age-matched populations from the late 19th century and from present-day Europe (1). Those over 80 years old represent 3% of the current population and they are anticipated to increase threefold by the year 2050 (2). This is expected to have a significant impact on public health resources as symptomatic coronary artery disease (CAD) is present in an estimated 30% of octogenarians with 50% expected to have CAD as their cause of death (3,4). Given that elderly patients have greater risks associated with invasive therapies, questions persist regarding the safest and most efficacious treatments to manage CAD and alleviate anginal symptoms. Current indications for percutaneous coronary intervention (PCI) include stable angina, acute coronary syndromes (ACS), and myocardial infarctions (MIs). This chapter discusses issues pertaining to elective PCI in the aged patient population. The issues of safety, efficacy, and risk-benefit ratio are highlighted.

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Authors and Affiliations

  1. Department of Cardiovascular Medicine, The Cleveland Clinic Foundation, Cleveland, OH

    Michael J. McWilliams MD & Eric J. Topol MD

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  1. Michael J. McWilliams MD
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  2. Eric J. Topol MD
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  1. Johns Hopkins University School of Medicine, Baltimore, MD

    Gary Gerstenblith MD

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© 2005 Humana Press Inc., Totowa, NJ

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McWilliams, M.J., Topol, E.J. (2005). Percutaneous Coronary Intervention in the Elderly. In: Gerstenblith, G. (eds) Cardiovascular Disease in the Elderly. Contemporary Cardiology. Humana Press. https://doi.org/10.1385/1-59259-941-9:159

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  • DOI: https://doi.org/10.1385/1-59259-941-9:159

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-282-7

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