The history of the standard management of acute coronary syndrome in older people, particularly unstable angina (UA) and non-ST segment elevation MI (NSTEMI), is littered with examples of age discrimination and alleged ageism. A Department of Health commissioned report by the Centre for Policy in Ageing into ageism in NHS hospitals concluded that ‘there is clear and widespread evidence of age discrimination in the hospital based investigation and treatment of heart disease and in the instigation of secondary prevention regimes following treatment’ [1]. The report also commented that the differences were so marked that they were unlikely to be accounted for by co-morbidity or frailty.. To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.