Treatment of the refractory angina in the very elderly patients and centenarians

In clinical practice, elderly patients are often refractory to the treatment of stable angina, including after revascularization. Clinical case is shown which illustrates problems and possibilities of refractory angina treatment in the elderly patients and centenarians. The main reason for referral...

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Main Authors: O.A. Yepanchintseva, O.P. Nadorak, Yu.A. Borkhalenko, S.I. Mashkovska, O.J. Zharinov
Format: Article
Language:English
Published: TOV Chetverta Khvylia 2016-05-01
Series:Кардіохірургія та інтервенційна кардіологія
Subjects:
Online Access:http://csic.com.ua/images/pdf/2016/2-2016/treatment-refractory-angina-very-elderly-patients-centenarians.pdf
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author O.A. Yepanchintseva
O.P. Nadorak
Yu.A. Borkhalenko
S.I. Mashkovska
O.J. Zharinov
author_facet O.A. Yepanchintseva
O.P. Nadorak
Yu.A. Borkhalenko
S.I. Mashkovska
O.J. Zharinov
author_sort O.A. Yepanchintseva
collection DOAJ
description In clinical practice, elderly patients are often refractory to the treatment of stable angina, including after revascularization. Clinical case is shown which illustrates problems and possibilities of refractory angina treatment in the elderly patients and centenarians. The main reason for referral to the physician in this case was angina persisting even after repeated endovascular interventions and coronary artery bypass surgery. In addition, despite antiarrhythmic therapy, frequent episodes of atrial fibrillation were observed. Usage of ranolazine in addition to the background treatment provided improvement of various components of the quality of life, apparently by reducing angina and prevention of paroxysmal atrial fibrillation.
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series Кардіохірургія та інтервенційна кардіологія
spelling doaj.art-7bfaf31afe454363a17a2b1b94045e9c2022-12-22T02:26:53ZengTOV Chetverta KhvyliaКардіохірургія та інтервенційна кардіологія2305-31272016-05-012 (13)3640Treatment of the refractory angina in the very elderly patients and centenariansO.A. Yepanchintseva0O.P. Nadorak1Yu.A. Borkhalenko2S.I. Mashkovska3O.J. Zharinov4Heart Institute of Healthcare Ministry of Ukraine, Kyiv, Ukraine, Shupyk National Medical Academy of Postgraduate Education, Kyiv, UkraineHeart Institute of Healthcare Ministry of Ukraine, Kyiv, UkraineHeart Institute of Healthcare Ministry of Ukraine, Kyiv, UkraineHeart Institute of Healthcare Ministry of Ukraine, Kyiv, UkraineShupyk National Medical Academy of Postgraduate Education, Kyiv, UkraineIn clinical practice, elderly patients are often refractory to the treatment of stable angina, including after revascularization. Clinical case is shown which illustrates problems and possibilities of refractory angina treatment in the elderly patients and centenarians. The main reason for referral to the physician in this case was angina persisting even after repeated endovascular interventions and coronary artery bypass surgery. In addition, despite antiarrhythmic therapy, frequent episodes of atrial fibrillation were observed. Usage of ranolazine in addition to the background treatment provided improvement of various components of the quality of life, apparently by reducing angina and prevention of paroxysmal atrial fibrillation.http://csic.com.ua/images/pdf/2016/2-2016/treatment-refractory-angina-very-elderly-patients-centenarians.pdfangina pectoriselderlyquality of liferevascularization
spellingShingle O.A. Yepanchintseva
O.P. Nadorak
Yu.A. Borkhalenko
S.I. Mashkovska
O.J. Zharinov
Treatment of the refractory angina in the very elderly patients and centenarians
Кардіохірургія та інтервенційна кардіологія
angina pectoris
elderly
quality of life
revascularization
title Treatment of the refractory angina in the very elderly patients and centenarians
title_full Treatment of the refractory angina in the very elderly patients and centenarians
title_fullStr Treatment of the refractory angina in the very elderly patients and centenarians
title_full_unstemmed Treatment of the refractory angina in the very elderly patients and centenarians
title_short Treatment of the refractory angina in the very elderly patients and centenarians
title_sort treatment of the refractory angina in the very elderly patients and centenarians
topic angina pectoris
elderly
quality of life
revascularization
url http://csic.com.ua/images/pdf/2016/2-2016/treatment-refractory-angina-very-elderly-patients-centenarians.pdf
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AT opnadorak treatmentoftherefractoryanginaintheveryelderlypatientsandcentenarians
AT yuaborkhalenko treatmentoftherefractoryanginaintheveryelderlypatientsandcentenarians
AT simashkovska treatmentoftherefractoryanginaintheveryelderlypatientsandcentenarians
AT ojzharinov treatmentoftherefractoryanginaintheveryelderlypatientsandcentenarians