INTRODUCTION: The elderly are often under-represented in clinical trials for @entity1187 ( @entity1187 ) and cardiologists commonly face management dilemmas in the choice of treatment for this group of @entity1 , particularly on whether invasive revascularisation should be used. This study analyses the characteristics of hospitalised elderly @entity1 with @entity1187 , and compares the outcomes of invasive and non-invasive treatment. METHODS: From 29 December 2005 to 26 April 2010, 13,545 @entity1 were admitted for @entity1187 in 16 hospitals across Malaysia. These @entity1 were divided into two groups - elderly (>=  65 years) and non-elderly (< 65 years) @entity1 . The clinical characteristics, treatment received (invasive or non-invasive) and outcomes (in-hospital and 30-day all-cause mortality) of these two groups were compared. The elderly @entity1 were then grouped according to the type of treatment received, and the outcomes of these two groups were compared. RESULTS: The elderly had a higher cardiovascular risk burden and a higher incidence of comorbidities. They were less likely to receive urgent revascularisation for acute ST-segment elevation @entity583 (elderly: 73.9% vs. non-elderly: 81.4%) and had longer doorto-needle time (elderly: 60.0 minutes vs. non-elderly: 50.0 minutes, p = 0.004). The rate of cardiac catheterisation was significantly lower in the elderly group across all @entity1187 strata. The elderly had poorer outcomes than the non-elderly. Elderly @entity1 who received invasive treatment appeared to have better outcomes than those who did not. CONCLUSION: Elderly @entity1 with @entity1187 tend to be undertreated both invasively and pharmacologically. Invasive treatment seems to yield better outcomes for this group of @entity1 .

The elderly in @entity1187 : the Malaysian National Cardiovascular Database-Acute Coronary Syndrome (NCVD- XXXX ) Registry.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1187 :: ('MESH:D054058', 'Disease') :: ['ACS', 'acute coronary syndrome'] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarction']
@entity1187 :: (MESH:D054058,Disease) :: ['ACS']
