Authors:

Dang Pham

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Background: With improved quality of life, Vietnam's life expectancy has increased to 75.38 years (World Bank, 2020). Consequently, the national disease burden is shifting from infectious diseases to cardiovascular and metabolic disorders, particularly atherosclerotic cardiovascular disease. Managing acute coronary syndrome (ACS) in elderly patients presents growing clinical challenges. This study evaluated the presentation, treatment strategies, and short-term outcomes of ACS in older adults at a geriatric center in Vietnam. Methods: A prospective study was conducted at a single center, enrolling 90 elderly patients diagnosed with ACS. Upon admission, all patients underwent comprehensive assessments, including electrocardiography (ECG), Killip classification, GRACE score, cardiac biomarkers, lipid profile, and echocardiography. Treatment decisions were made through multidisciplinary consultation with patient and family involvement. Data on demographics, past medical history, management strategy, laboratory results, and length of hospital stay were recorded. All patients were followed for three months post-discharge. Results: Among 90 patients (mean age 75.2 ± 7.7 years; 51 males), 40 had ST- elevation myocardial infarction (STEMI) and 50 had non-STEMI. Inferior infarction was observed in 21 STEMI cases, anterior in 17. Primary percutaneous coronary intervention (PCI) was performed in 55 patients-90% of STEMI and 34.5% of non-STEMI patients (p < 0.05). Patients with left main disease had longer hospital stays (13.7 vs. 10.6 days; p < 0.001). At discharge, 9 patients had heart failure with reduced or mildly reduced ejection fraction. All were clinically stable at three- month follow-up. † Presenting Undergrad Author; ‡ Contributing Undergrad Author; * Undergrad Acknowledgment Conclusion: Personalized, multidisciplinary care enables effective short-term management of ACS in elderly Vietnamese patients. Further research is warranted to assess long-term outcomes. Keywords: Acute Coronary Syndrome; Geriatric; Echocardiography; Long-Term Outcomes

Source:

Purdue University / 2025

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Co-authors:

Dang Pham