This interesting case involves a patient with an acute coronary syndrome and history of dementia. The intersection of treatable coronary heart disease and dementia is both a medical and philosophical challenge as it can be difficult to decide the extent of non-invasive and invasive evaluation in such patients. In this case, the physicians chose to pursue coronary angiography but did not recommend more invasive revascularization.

Note: This course is eligible for ACPE credit.

• To discuss the decision-making process of revascularization in the setting of co-morbid dementia.
• To outline current literature regarding dementia and health care utilization and outcomes in acute coronary syndromes.