Interventional Cardiology in the Elderly
This book provides an in-depth review of current practices in the treatment of elderly patients with coronary artery disease. It presents an update of existing literature, reflecting the current science of elderly patients with stable angina, acute corona
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Interventional Cardiology in the Elderly
Harald Rittger Editor
Interventional Cardiology in the Elderly
Editor Harald Rittger Universitatsklinikum Erlangen Erlangen Germany
ISBN 978-3-319-21141-1 ISBN 978-3-319-21142-8 DOI 10.1007/978-3-319-21142-8
(eBook)
Library of Congress Control Number: 2015954079 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com)
Contents
1
Epidemiology of Coronary Heart Disease in the Elderly . . . . . . . . . . Christoph Garlichs
2
Pathophysiology of the Aging Heart and Its Impact on Interventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Harald Rittger
13
The Role of Geriatric Preconditions (Frailty and Disability) in Elderly Patients and Its Possible Impact on Interventions . . . . . . . Harald Rittger
17
3
1
4
Comorbid Burden and Its Impact on Outcome . . . . . . . . . . . . . . . . . . Philipp Bahrmann
31
5
Coronary Interventions in Stable Coronary Artery Disease . . . . . . . Harald Rittger
47
6
PCI in Elderly Patients with ACS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Harald Rittger
61
7
CABG Versus PCI in Elderly Patients . . . . . . . . . . . . . . . . . . . . . . . . . Harald Rittger
77
8
Non-coronary Interventions in the Elderly . . . . . . . . . . . . . . . . . . . . . Ralf Birkemeyer
93
9
Pulmonary Hypertension in the Elderly: Impact of Age on Diagnosis and Therapy Options . . . . . . . . . . . . . . . 109 Tobias J. Lange
v
vi
Contents
10
Antiplatelet Therapy in Elderly Patients . . . . . . . . . . . . . . . . . . . . . . . 135 Andreas May
11
Ethical Aspects of Interventional Cardiology in Geriatric Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145 Thomas Frühwald
Index . . . .
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