Letters Acute coronary syndromes

Acute coronary syndromes: what about older patients with frailty and multiple comorbidities?

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h6346 (Published 25 November 2015) Cite this as: BMJ 2015;351:h6346
  1. Sean G Ninan, clinical leadership fellow and geriatric medicine registrar1
  1. 1Leeds Teaching Hospitals NHS Trust, St James’s University Hospital, Leeds LS9 7TF, UK
  1. sean.ninan{at}nhs.net

Timmis’s useful article does not refer to the management of older patients with multimorbidity, a common scenario in clinical practice.1 Only 14% of participants in clinical trials are over 75 years,2 yet Myocardial Ischaemia National Audit Project registry data indicate that around 40% of patients with acute coronary …

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