Frailty in acute coronary syndromes. A systematic review and narrative synthesis of frailty assessment tools and interventions from randomised controlled trials

The Impact of Geriatric Conditions in Elderly Patients with Coronary Heart Disease: A State-of-the-Art Review

“…Current guidelines recommend routinely addressing frailty and comorbidity burden in patients admitted with ACS [2]. However, frailty assessment, which are ideally conducted in the community setting, is not often performed [43]. On the other hand, several scales have been proposed to measure frailty in the ACS scenario, like the Green score, more complex, and the FRAIL and Clinical Frailty Scale (CFS), which may be of choice to assess patients' condition in an acute setting since they are simple and time-efficient [40,44].…”

“…In ACS settings, frail patients less frequently undergo an invasive strategy, and they often receive lower prescriptions of potent antiplatelet therapies and secondary prevention drugs [45]. This may be due to a higher concern about side effects, including higher perceived morbidity and mortality [41,43,46,47].…”

“…Finally, the question of whether interventions targeting frailty can improve this prognosis remains to be clarified [50]. In this context, it is important to address frailty and other geriatric conditions in a cardiac rehabilitation program as explained afterwards [43].…”