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Acute coronary syndromes
Coronary revascularisation in the elderly
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  • Published on:
    Re:A Case for Palliative PCI
    • James Cockburn, Cardiologist
    • Other Contributors:
      • David Hildick-|Smith, Uday Trivedi, Adam de Belder

    We would like to thank Sarah Blake et al, for their thoughtful and insightful comments.

    Firstly, we agree that "palliative PCI" can be a very useful treatment in this elderly patient population. Locally at our institution, via our heart team meeting, we can offer an elderly symptomatic patient with multiple co-morbidities percutaneous coronary intervention (PCI), which often fails to achieve complete re-vasculari...

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    Conflict of Interest:
    None declared.
  • Published on:
    A Case for Palliative PCI

    Dear Editor

    On reading the review on coronary revascularisation in the elderly by Cockburn et al (1) I must agree that more trials are needed to focus on the benefit of PCI in elderly populations.

    When assessing these patients, clinicians should consider the impact of symptom relief versus procedural risk. If a patient is experiencing recurrent and debilitating chest pain requiring frequent hospital a...

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    Conflict of Interest:
    None declared.