Ра зличные ва рианты лечения (инва зивные и медикам ентозное) многососудистого и/или стволового пораж ения коронарных артерий у пожилых больных

Cardiovascular morbidity and mortality increases with age. Population aging as a demographic trend poses many social and medical problems for society. Elderly patients are almost always burdened with comorbid pathology, which, in combination with multiple lesions of the coronary arteries, atherocalcinosis, rigidity and tortuosity of the coronary vessels, is associated with a high risk of invasive interventions for a large part of elderly patients. In this regard, the widespread use of surgical myocardial revascularization is far from always justified in patients of older age groups. At the same time, in the last 20 years there has been a decrease in operational mortality in elderly patients. The article discusses various treatment options (invasive and drug) of multivascular and / or main trunk lesions of coronary arteries in elderly patients. Based on an analysis of the literature, it is concluded that age should not be the only criterion for making decisions regarding revascularization. In the decision-making process, it is necessary to take into account individual prognostic data based on many clinical factors, as well as the preferences of the patient.