Coronary revascularization in the elderly with XXXX .

@entity1 @entity453 @entity64 @entity5749
A proportion of elderly with @entity453 is rapidly growing. They have more severe @entity453 , therefore, derive more benefit from revascularization and have a greater need for it. The elderly is a heterogeneous group, but compared to the younger cohort, the choice of the optimal revascularization method is much more complicated among them. In recent decades, results has improved dramatically both in surgery and percutaneous coronary intervention (PCI), even in very old @entity1 . Despite the lack of evidence in elderly, it is obvious, that coronary artery bypass surgery (CABG) has a more pronounced effect on long-term survival in price of more @entity64 , while PCI is certainly less invasive. Age itself is not a criterion for the selection of treatment strategy, but the elderly are often more interested in quality of life and personal independence instead of longevity. This article discusses the factors that influence the choice of the revascularization method in the elderly with @entity5749 and presents a complex algorithm for making an individual risk-benefit profile. As a consequence the features of CABG and PCI in elderly @entity1 are exposed. Emphasis is centered on the frailty and non-medical factors, including psychosocial, as essential components in making the decision of what strategy to choose. Good communication with the @entity1 and giving them unbiased information is encouraged.
