Abstract
Interventional treatment of the elderly with acute coronary syndrome is a complex, mostly interdisciplinary problem that we are faced with increasingly often due to the aging of the population. Although the interventional technique is the same as in the younger population, we have to count with a primary, much higher global and cardiac risk in the elderly.
Early interventional treatment has a major beneficial impact because of the high risk of death of acute coronary syndrome in the elderly. This is true especially in older patients with ST-elevation myocardial infarction (STEMI) treated with primary coronary intervention (primary PCI); in this group of patients, interventional treatment is associated with the highest -absolute mortality reduction.