TY - JOUR AU - Mone, P. AU - Minicucci, F. AU - Pansini, A. AU - Rizzo, A. AU - Carbonella, M. AU - Mauro, C. PY - 2019/09/15 Y2 - 2024/03/28 TI - Gait Speed test in physically frailty patients with ST-segment elevation myocardial infarction JF - JOURNAL OF GERONTOLOGY AND GERIATRICS JA - Gerontology and Geriatrics VL - 67 IS - 3 SE - Clinical Geriatrics - Reviews DO - UR - https://www.jgerontology-geriatrics.com/article/view/47 SP - 181-185 AB - Coronary artery disease (CAD) is the most frequent cause of death worldwide and, approximately. Age is animportant determinant of outcomes for patients with ST-segment elevation myocardial infarction (STEMI). Olderadults are at particular risk of developing frailty, a biological syndrome of decreased physiological reservesresulting in increased vulnerability to stressors. When exposed to such stressors, frail patients are at risk fordecompensation, adverse events, procedural complications, prolonged recovery, functional decline, disabilityand mortality. Frailty has become a priority section in cardiovascular medicine because of the aging and thecomorbidities of these patients. There is no upper age limit with respect to reperfusion, especially with PPCI.In a 2013 study, Yasushi Matsuzawa et al. evidenced that slow gait speed was strongly associated with futurecardiovascular events in STEMI patients who underwent successful primary percutaneous coronary intervention(PPCI). On the basis of existing literature, we may speculate that STEMI patients with frailty should bestudied with 5 metres gait speed test before hospital discharge, for a better evaluation of physical status. Theresults of the test might indicate how to set the pharmacological strategy, cardiac rehabilitation and the time offollow-up, for improving quality of life of the patients, reducing mortality and hospitalization. ER -