Coronary heart disease risk in people 65 years of age and older |
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Authors: | Levine Barbara S Kannel William B |
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Affiliation: | Department of Preventive Medicine and Epidemiology, Boston University School of Medicine, Boston, MA, USA. bslev@comcast.net |
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Abstract: | Evidence from epidemiologic studies indicates that the same factors that are associated with increased risk of coronary heart disease (CHD) in middle-aged people are relevant in older adults (i.e., those aged >or=65). The relative risk associated with some risk factors decreases with advancing age but this is offset by greater incidence of CHD among older adults. A growing body of evidence from clinical trials indicates that risk factor modification in older adults reduces CHD risk as effectively as it does in middle-aged adults. Multivariable risk assessment can be used to effectively target intervention to those at significant risk for an initial CHD event and to avoid over-treatment. It is important to appreciate that the average remaining life expectancy after achieving 80 years is about 8 years. |
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