Myocardial Ischemia
Conditions
Keywords
Veterans
Brief summary
Despite the effectiveness of beta-blockers and antiplatelet agents for secondary prevention of coronary heart disease, this treatments are underused in the elderly because of diagnosis uncertainty and underuse of efficient treatment. in a first time, diagnosis reassessment with invasive technique if necessary. in a second time, treatment reassessment.
Detailed description
not desired
Interventions
OTHERdiagnosis reassessment
Strategy of diagnosis reassessment following a decision tree.
OTHERDiagnosis strategy and subsequent therapeutic reassessment
Performed by geriatricians, following a decision tree, based on medical history, electrocardiogram, cardiac echotomography and stress scintigraphy
Sponsors
Assistance Publique - Hôpitaux de Paris
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
75 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients 75 of age or older hospitalized in a geriatric service and suspect of coronary heart disease
Exclusion criteria
* acute myocardial infarction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| therapeutical impact of a reassessment strategy in the diagnosis of coronary heart disease in elderly | during hospitalization |
Secondary
| Measure | Time frame |
|---|---|
| part link, in the treatment modification, with diagnosis reassessment and the part link with treatment optimization, death and rehospitalization in the subsequent 6 and 12 months | during hospitalization |
Countries
France
Outcome results
None listed