Thrombolysis for Elderly Patients with Myocardial Infarction: Experience in an Integrated Unit

Summary The Departments of Medicine and Geriatrics were integrated in the Ogwr Health Unit in 1984. Since then there has been a non-age-related acute admissions policy which has led to early, intensive investigations and appropriate treatment of all patients according to need rather than age. Aretro...

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Bibliographic Details
Published in:Age and ageing 1994-05, Vol.23 (3), p.220-222
Main Authors: BATTY, GWENNO M., PARRY, D. S., WILKINS, W. E., CHAPPELL, A. G.
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Blood. Blood coagulation. Reticuloendothelial system
Cardiovascular disease
Care and treatment
Coronary Care Units
Dose-Response Relationship, Drug
Drug Administration Schedule
Drug therapy
Elderly
Female
Fibrinolytic agents
Follow-Up Studies
Heart
Heart attack
Humans
Male
Medical research
Medical sciences
Myocardial Infarction - drug therapy
Myocardial Infarction - mortality
Older people
Pharmacology. Drug treatments
Streptokinase - administration & dosage
Streptokinase - adverse effects
Survival Rate
Thrombolytic drugs
Thrombolytic Therapy
Tissue Plasminogen Activator - administration & dosage
Tissue Plasminogen Activator - adverse effects
Treatment Outcome
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Summary:Summary The Departments of Medicine and Geriatrics were integrated in the Ogwr Health Unit in 1984. Since then there has been a non-age-related acute admissions policy which has led to early, intensive investigations and appropriate treatment of all patients according to need rather than age. Aretrospective analysis of the use of thrombolytic agents over a 12-month period in patients aged 65 or over was undertaken to assess whether our principles extended to care of elderly patients admitted with acute myocardial infarction. High rates of prescription of thrombolytic agents in the elderly were achieved by endorsing the philosophy that age contributes little to the prediction of patient outcome and should not be considered in patient management.
ISSN:0002-0729
1468-2834
DOI:10.1093/ageing/23.3.220