Beska B, Coakley D, MacGowan G, et al. - This longitudinal cohort study with 217 patients (aged ≥ 65 years) was conducted to determine health-related quality of life (HRQoL) of older, frail adults with non-ST elevation acute coronary syndrome (NSTEACS) receiving coronary angiography. Participants were selected from two tertiary cardiac centres between November 2012 and December 2015. Employing the Fried Frailty Index, frailty was evaluated; a score of 0 was characterised as robust, 1–2 prefrail and ≥3 frail. At baseline as well as 1 year, experts used the Short Form Survey 36, an HRQoL tool comprising eight domains spanning physical and mental health. Findings revealed poor HRQoL in frail older adults with NSTEACS. Modest improvements in HRQoL at 1 year post-invasive management were seen, which were most marked in frail and prefrail patients, who experienced a proportionally larger advantage compared with robust patients.