衰弱与老年急性冠脉综合征的治疗进展

Therapeutic progress of frailty combined with acute coronary syndrome in the older people

衰弱是常见的老年综合征之一,衰弱与急性冠脉综合征(acute coronary syndrome,ACS)患者再住院率及死亡率升高明显相关。衰弱的老年ACS患者通常合并疾病多,这使临床医生在治疗策略选择上“进退两难”。然而,在合并衰弱的老年ACS患者诊治方面,目前国内外尚无相关专家共识或指南,本文通过对近年来相关研究进行总结,以期为该类患者的治疗提供临床依据。

Frailty,one of the most common geriatric syndromes,is associated with the increase of mortality and rehospitalization in older patients with acute coronary syndrome(ACS).Older patients with debilitating ACS often have many co-morbidities,which puts clinicians in a“dilemma”and complicates therapeutic decision-making.However,there is currently no expert consensus or guideline for the diagnosis and treatment.This article summarizes recent studies to provide evidence for the management of these patients.