In this study, the authors attempted to systematize current information based on recommendations, large studies and meta-analyzes of the treatment of myocardial infarction in the elderly. Cardiovascular heart disease represents the leading cause of death in people aged 65 years and over. Acute myocardial infarction is one of the most socially important diseases with a high rate of mortality and disability. In elderly and old patients atypical forms of myocardial infarction are common. High rate of comorbidities, functional and socioeconomic status, side effects associated with drug administration create difficulty in the diagnosis and selection of treatment in the elderly. These patients need a prolonged monitoring with using an additional examinations and dynamic observation. Compared to younger subjects, elderly patients with acute myocardial infarction are less likely to receive evidence-based treatment, including myocardial revascularization therapy. Endovascular revascularization is currently the main standard for the treatment of acute myocardial infarction, but the advantage of the use of interventional cardiology techniques in elderly patients has been insufficiently studied. Older patients are generally underrepresented in cardiovascular trials. Modern scientific literature, illuminating issues of application of pharmacological and endovascular treatment of acute myocardial infarction in elderly and old age patients, contains fragmented and, in some cases, contradictory data, which forces researchers to continue studying new and promising methods of diagnosis and treatment of myocardial infarction in the elderly.

About the authors

Kirill L. Kozlov

Saint Petersburg Institute of Bioregulation and Gerontology Research Center, Saint Petersburg, Russia; Military Medical Academy, Saint Petersburg, Russia

Author for correspondence.

Russian Federation, 197110 Russia, Saint Petersburg, Dynamo Ave., 3; 194044, Saint Petersburg, 6 Akademika Lebedeva street, Litera. " V»

Doctor of medicine, Professor, Deputy director for educational and methodological work

Andrey N. Bogomolov

Saint Petersburg Institute of Bioregulation and Gerontology Research Center, Saint Petersburg, Russia


Russian Federation, 197110 Russia, Saint Petersburg, Dynamo Ave.,

Ph.D. in Medicine, Senior Researcher of the Laboratory of Age-Related Pathology of the Cardiovascular System of the Department of Clinical Gerontology and Geriatrics

Nikolay G. Lukianov

Military Medical Academy, Saint Petersburg, Russia


Russian Federation, 194044, Saint Petersburg, 6 Akademika Lebedeva street, Litera. " V»

Ph.D. in Medicine, Associate Professor, Associate Professor of the 1st department (surgery for advanced medical doctors) named after P.A. Kupriyanov, S.M. Kirov

Ekaterina I. Senkina

Saint Petersburg Institute of Bioregulation and Gerontology Research Center, Saint Petersburg, Russia


Russian Federation, 197110 Russia, Saint Petersburg, Dynamo Ave.,

Researcher of the Laboratory of Age-Related Pathology of the Cardiovascular System

Anastasia E. Pukhalskaya

Saint Petersburg Institute of Bioregulation and Gerontology Research Center, Saint Petersburg, Russia


Russian Federation, 197110 Russia, Saint Petersburg, Dynamo Ave.,

Researcher of the Laboratory of Age-Related Pathology of the Cardiovascular System


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