What is your approach to counseling an octogenarian on the risks and benefits of LHC in the context of NSTEMI complicated by new-onset heart failure and AKI on CKD?

Topics: Cardiology • Geriatric Cardiology • Preventive Cardiology

If LHC is deferred, would you consider loading with plavix and treating for ACS for 48 hours (assuming acceptable bleeding risk) and optimizing GDMT prior to discharge?

Answer from: at Academic Institution

This is a complex though not uncommon clinical scenario to which my approach would depend on many factors beyond those provided in the vignette. Among these (not an exhaustive list and not necessarily in order of importance): Is this a type I or type II NSTEMI? Is there evidence of ongoing ischemia ...

Comments

at Heart And Sleep Clinics Of America
Good answer; with increasing longevity this will b...

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