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Despite the effectiveness of beta-blockers and antiplatelet agents for secondary prevention of coronary heart disease, this treatments are underused in the elderly because of diagnosis uncertainty and underuse of efficient treatment.
in a first time, diagnosis reassessment with invasive technique if necessary. in a second time, treatment reassessment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Diagnosis strategy and subsequent therapeutic reassessment All patients are in that arms. They all receive the diagnosis reassessment strategy. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| diagnosis reassessment | Other | Strategy of diagnosis reassessment following a decision tree. |
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| Measure | Description | Time Frame |
|---|---|---|
| therapeutical impact of a reassessment strategy in the diagnosis of coronary heart disease in elderly | during hospitalization |
| Measure | Description | Time Frame |
|---|---|---|
| part link, in the treatment modification, with diagnosis reassessment and the part link with treatment optimization, death and rehospitalization in the subsequent 6 and 12 months | during hospitalization |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| legrain sylvie | APHP | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hopital Bichat | Paris | Paris | 75018 | France |
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| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
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| Diagnosis strategy and subsequent therapeutic reassessment | Other | Performed by geriatricians, following a decision tree, based on medical history, electrocardiogram, cardiac echotomography and stress scintigraphy |
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