Geriatric syndromes in elderly patients with myocardial infarction

Autor: S V Malchikova, N S Trushnikova, N S Maksimchuk-Kolobova, M V Kazakovtseva
Rok vydání: 2021
Předmět:
Zdroj: European Heart Journal. 42
ISSN: 1522-9645
0195-668X
Popis: Introduction The average age of patients with acute coronary syndrome ACS has been progressively increasing in recent decades. Recommendations for the management of patients with ACS emphasize the importance of a patient-oriented approach, including aged 75 and over. Purpose To assess the geriatric status in elderly patients with myocardial infarction MI. Methods 92 patients with MI were studied, mean age 81.6±4.2. Questionnaire “age is no disqualification”, The Short Physical Performance Battery, Mini Nutritional Assessment- MNA, Barthel Activities of daily living Index, Instrumental Activities of Daily Living, gait velocity, “Get up and go”, dynamometry, Mini Mental State Examination- MMSE, clock drawing test, geriatric depression scale- GDS. Statistical data processing was performed using the Statistica for Windows ver 10.0. Results The frailty syndrome FS was in 38.0% patients, preasthenia in 17.4%, 44.6% without FS. Impairment of memory, understanding, orientation was in 85.7% fragile, 87.5% of pre-fragile, 36.6% in strong, p Conclusion In patients with MI and FS, geriatric syndromes were significantly more often detected, reflecting disorders of physical and mental health and performance status, which can serve as additional criteria for predicting the risks of unfavorable outcomes in MI in elderly and long-livers. Funding Acknowledgement Type of funding sources: None.
Databáze: OpenAIRE