RESUMO
Although the prognosis of acute coronary syndrome [ACS] in elderly patients is bleak, elderly population is less well treated both in medical and interventional terms. To analyse angiographic findings in septuagenarian patients admitted with ACS and its impact on the therapeutic strategy. We retrospectively analysed 250 patients 70 years or older hospitalised for ACS who underwent a coronary angiography between January 2006 to september2010. This population was more likely to be male with mean age 74 years and 93% of ACS were inaugural events [60% N STEM, 40% STEMI].Coronary angiograms showed complex, diffuse coronary lesions with a high incidence of multivessel coronary artery disease, bifurcation lesions, and calcified stenosis. Angiographic findings after ACS in elderly were caracterised by multivessel disease and complex lesions .Surgical or percutaneous coronary revascularizaion was possible in the majority of these patients