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[Comment] Management of acute coronary syndrome in the very elderly

The very elderly, those aged 80 years or older, constitute a rapidly increasing subgroup of patients presenting with ischaemic heart disease.1 Non-ST-elevation (NSTE)-acute coronary syndrome is the most common manifestation of acute ischaemic heart disease in the very elderly, with advanced age conferring higher risks of mortality, recurrent ischaemia, and readmission to hospital.1–3 Present guidelines recommend a routine invasive strategy for the management of NSTE-acute coronary syndrome in patients at high risk of recurrent events.