Secondary Prevention of Atherosclerotic Cardiovascular Disease in Older Adults

American Heart Association: October 28, 2013


Since the initial scientific statement on Secondary revention of Coronary Heart Disease (CHD) in the Elderly was published in 2002,1 several trends have continued hat make an update highly appropriate. First, the graying of the US population and those of other industrialized ountries has progressed unabated because more adults are surviving into their senior years. The number of Americans ged ≥75 years was estimated at 18.6 million in 2010, representing ≈6% of the population,2 and it is expected to double y 2050. The population aged ≥85 years is growing the most rapidly, with numbers expected to reach 19.5 million by 2040. In 2008, 67% of the 811 940 cardiovascular deaths in the United States occurred in people aged ≥75 years.3 In parallel to this increase in the older adult demographic, the number of Americans with CHD has increased to an estimated 6.3 million, more than half of whom are >65 years of age.3 similarly, 7 million have had a stroke, the incidence of which approximately doubles with successive age decades after 45 to 54 years.3 Peripheral artery disease (PAD) affects 8 to 10 million Americans, the majority of whom are >65 years of age.  Read more