Do you have a strict age cut-off for not referring patients for CABG evaluation?

Simple answer: No. The risks and benefits of any procedure should be assessed and balanced for all patients, regardless of age, and decision-making should be undertaken in the context of the patient's overall health status, comorbidity burden, geriatric syndromes (esp. frailty and cognitive impairment), and the individual's personal healthcare preferences and goals. While a very advanced age, e.g., 100+ years old, may mitigate strongly against CABG if PCI or medical therapy is a suitable alterna...

Short answer: No.

Current guidelines explicitly endorse a physiologic-age approach over chronologic age used in isolation.

Chronologic age is simply the time elapsed since birth, measured in years.

Physiologic age is a clinical estimate of a patient's true biological status, how well the body is actually functioning.

Physiologic age integrates:

• Organ system reserve (cardiac, renal, pulmonary)
• Functional status (ADLs, gait speed, strength)
• Cognition, Comorbidity burden
• Frailty and nutrition

The 2025 ...