Rotina Invasiva vs Conservadora no IAM Sem Supra de ST em Idosos Frágeis: Perspectivas Baseadas em Evidências

Authors

  • Pedro Lucas Borges Souza Unicerrado
  • Giovanna Ceccato de Faria Centro Universitário de Goiatuba-UNICERRADO
  • Antônio Simão Addad Neto Centro Universitário de Goiatuba-UNICERRADO
  • Ana Beatriz Cordeiro Barros Centro Universitário de Goiatuba-UNICERRADO
  • Guilherme Susstrunk Monteiro Centro Universitário de Goiatuba-UNICERRADO
  • Eduarda Holanda Gama Centro Universitário de Goiatuba-UNICERRADO
  • Poliana Bonin Bortoluzzi Centro Universitário de Goiatuba-UNICERRADO
  • Rhenan Lucena de Castilho Centro Universitário de Goiatuba-UNICERRADO
  • Carolina Barbosa da Costa Centro Universitário de Goiatuba-UNICERRADO
  • Victória Dias Carneiro de Abreu Centro Universitário de Goiatuba-UNICERRADO
  • Matheus Vinícius Lemes Centro Universitário de Goiatuba-UNICERRADO
  • Kelly Cristiene de Freitas Borges Centro Universitário de Goiatuba-UNICERRADO

DOI:

https://doi.org/10.36557/2674-8169.2025v7n1p1516-1524

Keywords:

Acute myocardial infarction without ST-segment elevation, Frailty in elderly, Invasive treatment, Conservative strategies.

Abstract

Introduction: Acute myocardial infarction without ST-segment elevation (NSTEMI) presents challenges in managing frail patients, especially the elderly, with multiple comorbidities. The choice between invasive and conservative strategies is complex. Objectives: To review evidence on invasive and conservative strategies for managing frail elderly patients with NSTEMI, considering their impact on clinical outcomes. Methodology: A bibliographic review of studies published between 2018 and 2025, using databases such as PubMed, Scielo, and MedLine. Studies on NSTEMI, frailty, and invasive treatments were included. Results and Discussion: Studies show underutilization of invasive strategies in frail elderly patients due to concerns about risks and prognosis. No clear evidence supports the superiority of one approach over the other for this population. Conclusion: The invasive strategy did not demonstrate significant benefits compared to the conservative approach. More studies are needed to evaluate the impact of frailty and define the best therapeutic approach for this group.

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References

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Published

2025-01-18

How to Cite

Borges Souza, P. L., de Faria, G. C., Addad Neto, A. S., Cordeiro Barros, A. B., Monteiro, G. S., Gama, E. H., Bortoluzzi, P. B., de Castilho, R. L., da Costa, C. B., de Abreu, V. D. C., Lemes, M. V., & de Freitas Borges, K. C. (2025). Rotina Invasiva vs Conservadora no IAM Sem Supra de ST em Idosos Frágeis: Perspectivas Baseadas em Evidências. Brazilian Journal of Implantology and Health Sciences, 7(1), 1516–1524. https://doi.org/10.36557/2674-8169.2025v7n1p1516-1524

Issue

Vol. 7 No. 1 (2025): BJIHS QUALIS B3 - FATOR DE IMPACTO SJIF 5.807 - ÍNDICE H 22

Section

Original article

License

Copyright (c) 2025 Pedro Lucas Borges Souza, Giovanna Ceccato de Faria, Antônio Simão Addad Neto, Ana Beatriz Cordeiro Barros, Guilherme Susstrunk Monteiro, Eduarda Holanda Gama, Poliana Bonin Bortoluzzi, Rhenan Lucena de Castilho, Carolina Barbosa da Costa, Victória Dias Carneiro de Abreu, Matheus Vinícius Lemes, Kelly Cristiene de Freitas Borges

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