Discordance between level of risk and intensity of evidence-based treatment in patients with acute coronary syndromes

Ian A Scott
Med J Aust 2007; 187 (8): . || doi: 10.5694/j.1326-5377.2007.tb01378.x
Published online: 15 October 2007

In reply: Jelinek rightly draws attention to the need, when caring for patients with acute coronary syndromes, to distinguish disease-related risk from age-related risk arising from frailty, comorbidity, physical disability, cognitive impairment, depression, social isolation, age–treatment interactions, and quality of life. All these factors affect treatment goals in older patients and may, as we conceded, justify withholding certain treatments in individual cases. However, even after accounting for “wise compassion”, under-treatment is still likely because:

  • Ian A Scott

  • Department of Internal Medicine, Princess Alexandra Hospital, Brisbane, QLD.



remove_circle_outline Delete Author
add_circle_outline Add Author

Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.