Procedural and long-term outcome of primary percutaneous coronary intervention in octogenarians

Autor: van 't Marcel Marcel Veer, Nhj Nico Pijls, Laa Moonen
Přispěvatelé: Cardiovascular Biomechanics
Rok vydání: 2010
Předmět:
Zdroj: Netherlands Heart Journal, 18(3), 129-134. Bohn Stafleu van Loghum
ISSN: 1876-6250
1568-5888
DOI: 10.1007/bf03091751
Popis: Background/objectives. To investigate the procedural and long-term outcome of primary percutaneous coronary intervention (PCI) in octogenarians with an acute myocardial infarction. Methods. We performed a retrospective analysis of all consecutive octogenarian patients (n=98) with an acute myocardial infarction treated with primary PCI in the Catharina Hospital in the year 2006. We compared procedural results and outcome with a matched control group composed of non-octogenarians undergoing primary PCI. Follow-up period was one year. Results. The initial success rate of PCI was similar in the two groups but short-term mortality was higher among the elderly patients: 30-day mortality 26.3 vs. 9.6%. Age-adjusted mortality between 30 days and one year was comparable in the two groups and similar to natural survival in the Netherlands. Octogenarians were less likely to have a normal left ventricular function during follow-up (48.3 vs. 66.7%). New York Heart Association (NYHA) class and recurrence rate of myocardial infarction was higher among octogenarians. Conclusion. Technical success rate during primary PCI was as good for octogenarians as in younger patients, but 30-day mortality, though acceptable, was higher among the elderly. After 30 days, age-adjusted mortality was comparable in both groups. (Neth Heart J 2010;18:129-34.)
Databáze: OpenAIRE
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