Zaman, MJ, Kwok, CS, Bachmann, MO, Mamas, MA ORCID: 0000-0001-9241-8890 and Myint, PK (2016) Explaining inequalities in receipt of care in the older patient with acute coronary syndrome. European Heart Journal - Quality of Care and Clinical Outcomes, 2 (2). pp. 59-61. ISSN 2058-1742

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Abstract

The world's population is ageing and patients with acute coronary syndromes (ACS) are presenting later in life such that a third or more are now aged ≥70.1 ACS mortality rates are higher in older patients,1 and absolute benefits of treatment are, therefore, potentially greater if the balance against harms remains favourable. Randomized trials of both invasive and pharmaceutical ACS treatments have confirmed that efficacy extends to the oldest patients,2,3 yet observational studies continue to show that they are less likely than their younger counterparts to receive these evidence-based therapies.4 Potential reasons for this include the supervision of their care by non-specialists, multiple co-morbidities that limit treatment options and increased complications from treatment that occur more commonly in older patients. Whether the risk-treatment paradox that characterizes the care of older patients with ACS is truly paradoxical or whether it is a reflection of appropriate management decisions is an important question that has not hitherto been answered.

Item Type: Article
Additional Information: This is the accepted author manuscript (AAM). The final published version (version of record) is available online via OUP at http://dx.doi.org/10.1093/ehjqcco/qcw011 Please refer to any applicable terms of use of the publisher.
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Medicine and Health Sciences > Institute for Science and Technology in Medicine
Depositing User: Symplectic
Date Deposited: 18 Mar 2016 12:50
Last Modified: 22 Jun 2018 15:04
URI: http://eprints.keele.ac.uk/id/eprint/1571

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