Research different options to find the right pediatrician
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Check credentials and licensing
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What to consider when choosing the right tech stack?
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Look for experience in treating your child's age
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Consider location and availability
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Periodical Summary
In the “After Eighty Study,” with a mean age of 85 years and non-ST elevation acute coronary syndrome, an invasive strategy showed a reduction in a composite endpoint of major adverse cardiovascular events and was associated with a significant improvement in event-free survival compared to a conservative approach.
Doctor Max's Comment
Is 80 the new 60? For many of my patients, I believe that it is. It has been interesting to see how many of my octogenarian patients are functioning at a level that is associated with much younger patients. We are challenged to match age with physiology, and more importantly, to interface with our older patients to determine the aggressiveness of care that they receive. There is no question that procedural-related complications are higher in older patients-especially women. However, as long as the patient and their families are given informed consent, I believe that aggressive therapy can be life-changing (pun-intended.) We have many ways of supporting an unstable patient during an intervention, and severe calcific disease can now be treated with Shockwave therapy (lithotripsy for the coronaries) or atherectomy. Over my thirty-three years of clinical cardiology experience, I have found that “hitting it hard” on the front-end of treatment makes downstream management much easier and less traumatic for my senior adult patients.
