[ST-elevation myocardial infarction (STEMI) in the elderly]

Abstract

Admission in cardiology departments of patients over 80 years old, even nonagenarians, for ST-segment elevation myocardial infarction (STEMI) is not uncommon in 2018. The management of these high risk and polypathological patients, with atypical clinical presentation, is not based on international guidelines or randomized studies, but rather on retrospective studies, expert consensus, and common sense. Each decision has to be individualized to the patient's situation. This review, after a clinical case, aims to guide the clinician in the specific management of these patients, from the symptoms, to reperfusion strategy, and, as fast as possible, hospital discharge.

Keywords: Antithrombotic therapy; Antithrombotiques; Elderly; ST-elevation myocardial infarction; Sujet âgé; Syndrome coronaire aigu avec sus-décalage du segment ST.