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Statin Therapy in a 102 Year Old Survivor of Myocardial Infarction Statin Therapy in Extreme Old Age

William E Feeman

This manuscript involves a case report, unique in the world, of an elderly female patient who survived an acute myocardial infarction at age 75 and subsequently underwent coronary artery bypass surgery. Nothing was done about the atherothrombotic disease (ATD) risk factors by her attending physician. When her chest pains returned some four years later, she came to the author’s clinic for preventive treatment. After determination of the patient’s ATD risk factors, appropriate therapy was initiated with statins, low dose aspirin, and a calcium channel blocker (for the chest pain). The patient is still alive at age 102 and ½ years, living at home, with no evidence of dementia, on the noted therapeutic regimen and no other intervention. At age 101 and ½ years, the patient developed a mild case of congestive heart failure, which was treated symptomatically. She continues to do well. This case report shows what is possible in the treatment of ATD in the very old patient population.