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Patient handout

Octogenarian NSTE-ACS — conservative strategy

PRODUCTION

1. Your condition

This handout is for octogenarian nste-acs — conservative strategy. Your care team identified this based on: age ≥80 + nste-acs confirmed by 0/1-h hstn algorithm — shared-decision invasive vs conservative per acc/aha 2025.

Other reasons your team may use this plan: clinical frailty scale (rockwood) ≥5 — mild-moderate frailty drives risk-benefit toward conservative; meets arc-hbr major or 2 minor criteria → high bleed risk drives conservative + short dapt (master dapt); egfr <30 + age ≥80 + nste-acs — contrast nephropathy risk weighs against early cath.

2. Your medications

Take these medications exactly as prescribed. Do not stop or change a dose without talking to your provider.

MedicationStarting doseHowWhenWhat it does
aspirin162-325 mg load → 81 mgPO chewedload once → 81 mg daily lifelong unless major bleedUniversal — ACC/AHA 2025 Class I; ISIS-2 mortality benefit; lifelong unless ARC-HBR major bleed event
clopidogrel300 mg load (consider 600 if PCI possible) → 75 mg dailyPOdaily × 3-12 mo per PRECISE-DAPT + MASTER DAPTPreferred P2Y12 in age ≥80 with frailty/HBR — better bleed profile than ticagrelor or prasugrel; ACC/AHA 2025 Class IIa for elderly HBR
ticagrelor180 mg load → 90 mg BID (consider 60 mg BID after 12 mo if continued per PEGASUS)POBID × 12 mo if invasive elected and bleed risk acceptablePLATO PMID 19717846 — net benefit preserved in elderly subgroup; reserve for non-HBR octogenarian who proceeded to PCI
fondaparinux2.5 mg SC dailySCdaily until end of hospitalisation or 8 dOASIS-5 (Yusuf NEJM 2006 PMID 16554528) — fondaparinux 50% lower bleed vs enoxaparin in NSTE-ACS; preferred parenteral AC in elderly conservative path; ACC/AHA 2025 Class I
enoxaparin1 mg/kg SC q12h (1 mg/kg q24h if CrCl 15-30)SCq12h or q24h per CrCl until cath or end of hospitalisationESSENCE PMID 11519503; renal dose-adjust mandatory in elderly; switch to UFH at PCI per ACC/AHA 2025
atorvastatin80 mg (consider 40 mg if frailty CFS ≥6 or life-expectancy <2 y)POdailyPROVE-IT PMID 15007110 — start day 0; consider moderate-intensity in CFS ≥6 per shared decision (geriatric tolerability)

Plan: Octogenarian NSTE-ACS conservative-strategy phenotype — gentler antiplatelet + bleed-mitigated AC + AKI-aware contrast plan; adds to parent cardio.nstemi.core.v1

3. When to call your provider

Contact your care team if any of the following happen:

  • Recurrent chest pain → ED + reassess invasive vs conservative
  • BARC 2+ bleed → de-escalate DAPT immediately
  • NYHA worsening to III+ → expedite cardiology re-eval + echo
  • Functional decline / fall with injury → pause titration, geriatric reassessment

4. When to seek emergency care

Call 911 or go to the nearest emergency room right away if you have:

  • BARC 3+ or BARC 2 with hemodynamic compromise during DAPT in octogenarian NSTE-ACS — gates immediate antiplatelet hold + bleed source workup + DAPT-duration shortening
  • eGFR <30 + cath being considered in octogenarian — high contrast nephropathy + dialysis-initiation risk
  • SBP <90 with hypoperfusion OR sustained VT/VF in octogenarian NSTE-ACS — overrides conservative shared decision and re-frames toward invasive (functional baseline permitting)(life-threatening)

5. Follow-up

Cardiac rehab (geriatric-tailored) Class I; lipid recheck 4-8 wks; PRECISE-DAPT-driven DAPT duration (3-6 mo if HBR per MASTER DAPT) with explicit reassessment cadence; geriatrics co-management if frail

6. Sources

Guideline: 2025 ACC/AHA Guideline for ACS (Rao) — elderly + frail section; ESC 2023 NSTE-ACS Guideline (Byrne, PMID 37622670)

  1. pubmed.ncbi.nlm.nih.gov/37622670
  2. pubmed.ncbi.nlm.nih.gov/32605898
  3. pubmed.ncbi.nlm.nih.gov/26794722