Type 2 myocardial infarction: is it a geriatric syndrome?

Curcio, F.; Gerundo, G.; Sasso, G.; Panicara, V.; Liguori, I.; Testa, G.; Della-Morte, D.; Gargiulo, G.; Galizia, G.; Ungar, A.; Cacciatore, F.; Bonaduce, D.; Abete, P.

doi:10.1007/s40520-019-01452-8

Type 2 myocardial infarctions (T2-MI) is a type of necrosis that results from reduced oxygen supply and/or increased demand secondary to other causes unrelated to acute coronary atherothrombosis. The development and implementation of sensitive and high-sensitivity cardiac necrosis marker and the age-related increase of comorbidity lead to a boost of the frequency of T2-MI. T2-MI is often a complication of a high degree of clinical frailty in older adults, emerging as a “geriatric syndrome”. Age-related non-cardiovascular causes may be the triggering factors and are strongly associated with the diagnosis, treatment, and prognosis of T2-MI. To date, there are no guidelines on management of this pathology in advancing age. Patient-centered approach and comprehensive geriatric assessment play a key role in the diagnosis, therapy and prognosis of geriatric patients with T2-MI.

Type 2 myocardial infarction: is it a geriatric syndrome? / Curcio F.; Gerundo G.; Sasso G.; Panicara V.; Liguori I.; Testa G.; Della-Morte D.; Gargiulo G.; Galizia G.; Ungar A.; Cacciatore F.; Bonaduce D.; Abete P.. - In: AGING CLINICAL AND EXPERIMENTAL RESEARCH. - ISSN 1594-0667. - STAMPA. - 32:(2020), pp. 32-39. [10.1007/s40520-019-01452-8]