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We examined these aspects at baseline and evolution one year post-infarct in patients aged\u2009\u2265\u200980 versus &lt;\u200980.STEMI registry data were retrospectively analyzed. The older subgroup included patients aged\u2009\u2265\u200980 years at index hospitalization. Echocardiography was performed at baseline and one year after STEMI. LV remodeling was defined as &gt;\u200920% relative increase in the LV end-diastolic volume. One-year cardiovascular outcomes and five-year all-cause mortality are reported.Study included 2178 patients; 132 (6.1%) were aged\u2009\u2265\u200980. Older patients had worse baseline LV ejection fraction (47.2\u2009\u00b1\u20099.6% versus 49.8\u2009\u00b1\u20098.2%;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001) and experienced more adverse LV remodeling (29% versus 19%;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.024). Nevertheless, LV function improved similarly in both groups. Beta-blocker and renin-angiotensin-aldosterone system inhibitor use was lower (86.4% versus 94.2%;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001 and 90.2% versus 96.5%;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001, respectively) but diuretic prescription higher (18.2% versus 8.1%;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001) in older patients. One year post-infarct beta-blocker and renin-angiotensin-aldosterone system inhibitor use decreased and was similar in both groups, but older patients continued to receive more diuretics and suffered higher heart failure hospitalization rates (7.0% versus 2.6%;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.006). Five-year mortality was 25.8% in older versus 4.3% in younger patients (log-rank \u03c72 133.2;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001).Older patients experienced more adverse LV remodeling, received less beta-blockers and renin-angiotensin-aldosterone system inhibitors but more diuretics at discharge and one year, compared to younger patients. Nevertheless, LV function recovered similarly in both groups.\n                  <\/jats:p>","DOI":"10.1007\/s10554-026-03775-w","type":"journal-article","created":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T04:02:48Z","timestamp":1783742568000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["ST-segment elevation myocardial infarction in older adults: echocardiographic characterization and outcomes in contemporary practice"],"prefix":"10.1007","author":[{"given":"Laima","family":"Caunite","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rinchyenkhand","family":"Myagmardorj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xavier","family":"Galloo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorien","family":"Laenens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Stassen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeru","family":"Nabeta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Idit","family":"Yedidya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Chiara","family":"Meucci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jurrien H.","family":"Kuneman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inge J.","family":"van den Hoogen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie E.","family":"van Rosendael","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hoi W.","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor M.","family":"van den Brand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Giuca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karlis","family":"Trusinskis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina Ajmone","family":"Marsan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeroen J.","family":"Bax","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pieter","family":"van der Bijl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,11]]},"reference":[{"key":"3775_CR1","unstructured":"United Nations DoEaSA, Population Division (2020) World Population Ageing 2019. 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The Department of Cardiology of the Leiden University Medical Center received research grants from Abbott Vascular, Alnylam, Bayer, Biotronik, Bioventrix, Boston Scientific, Edwards Lifesciences, GE Healthcare, Medtronic, Pie Medical, Medis, Pfizer and Novartis. Jeroen J Bax received speaker fees from Abbott Vascular, Edwards Lifesciences and Omron. Nina Ajmone Marsan received speaker fees from Abbott Vascular, Philips Ultrasound, Omron, GE Healthcare and Pfizer. Karlis Trusinskis received speaker fees from Abbvie, Astra Zeneca, Bayer, Berlin Menarini, Boehringer-Ingelheim, Biotronik, Medtronic, Novo-Nordisk, Pfizer and Servier. Pieter van der Bijl received speaker fees from GE Healthcare. All other authors have no relationships relevant to the contents of this paper to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"All data used in the current analysis were collected for routine clinical purposes and handled anonymously. The requirement for written informed consent was waived by the institutional review board on a patient level due to the retrospective design of the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}}]}}