Evidence map›Paper›PMID 40004725›Full record

ReviewJournal of clinical medicine2025

Bleeding Risk in Elderly Patients Undergoing Percutaneous Coronary Intervention: A Comprehensive Review.

Alexander Marschall, Fernando Rivero, David Del Val, Teresa Bastante, Edurne López Soberón, Inés Gómez Sánchez, Elena Basabe Velasco, Fernando Alfonso, José María de la Torre Hernández, David Martí Sánchez

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Alexander MarschallCardiology Department, Instituto de Investigación Sanitaria, Instituto de Investigación del Hospital de La Princesa (IIS-IP), Hospital Universitario de La Princesa, Universidad Autónoma de Madrid, 28006 Madrid, Spain.
Fernando RiveroCardiology Department, Instituto de Investigación Sanitaria, Instituto de Investigación del Hospital de La Princesa (IIS-IP), Hospital Universitario de La Princesa, Universidad Autónoma de Madrid, 28006 Madrid, Spain.ORCID 0000-0002-3676-0277
David Del ValCardiology Department, Instituto de Investigación Sanitaria, Instituto de Investigación del Hospital de La Princesa (IIS-IP), Hospital Universitario de La Princesa, Universidad Autónoma de Madrid, 28006 Madrid, Spain.
Teresa BastanteCardiology Department, Instituto de Investigación Sanitaria, Instituto de Investigación del Hospital de La Princesa (IIS-IP), Hospital Universitario de La Princesa, Universidad Autónoma de Madrid, 28006 Madrid, Spain.ORCID 0000-0002-1544-9594
Edurne López SoberónCardiology Department, Central Defense Hospital Gómez Ulla, University of Alcalá, 28801 Madrid, Spain.
Inés Gómez SánchezCardiology Department, Central Defense Hospital Gómez Ulla, University of Alcalá, 28801 Madrid, Spain.ORCID 0009-0000-2756-8673
Elena Basabe VelascoCardiology Department, Central Defense Hospital Gómez Ulla, University of Alcalá, 28801 Madrid, Spain.
Fernando AlfonsoCardiology Department, Instituto de Investigación Sanitaria, Instituto de Investigación del Hospital de La Princesa (IIS-IP), Hospital Universitario de La Princesa, Universidad Autónoma de Madrid, 28006 Madrid, Spain.ORCID 0000-0002-7480-2511
José María de la Torre HernándezCardiology Department, Hospital Universitario Marqués de Valdecilla, IDIVAL, 39008 Santander, Spain.
David Martí SánchezCardiology Department, Central Defense Hospital Gómez Ulla, University of Alcalá, 28801 Madrid, Spain.ORCID 0000-0001-5036-4943

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The care of elderly patients with coronary artery disease (CAD) undergoing percutaneous coronary interventions (PCIs) presents unique challenges due to age-related physiological and functional changes. With the global population aging rapidly, this demographic change affects a growing proportion of individuals requiring PCI. However, advanced age is associated with increased susceptibility to ischemic and bleeding complications, driven by physiological changes such as altered coagulation, vascular stiffness, and declining organ function. These factors complicate the management of CAD, making the balance between reducing thrombotic events and minimizing bleeding risks particularly challenging. Antiplatelet therapy is central to post-PCI management, but its benefits and risks differ significantly in elderly patients compared to younger populations. Tools like the PRECISE-DAPT and ARC-HBR provide guidance on dual antiplatelet therapy duration and bleeding risk stratification. However, their applicability and predictive accuracy in elderly patients remain areas of active investigation. This underscores the need for improved risk assessment methods tailored to the unique needs of aging individuals. In this review, we explore the epidemiological, pathophysiological, and clinical aspects of CAD in elderly patients, emphasizing the impact of aging on disease presentation and outcomes. Furthermore, we assess current risk stratification tools and discuss their limitations in predicting adverse events in older populations. By synthesizing these insights, we aim to highlight the complexities of managing elderly CAD patients and identify opportunities for optimizing personalized care to achieve better outcomes in this vulnerable group.

Indexed as

ARC-HBRbleeding riskelderlypercutaneous coronary interventionPRECISE-DAPT

Identifiers

PMID40004725
PMCPMC11856222

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.