Survival and changes in physical ability after coronary revascularization for octa-nonagenerian patients with acute coronary syndrome
| Autor: | Yasushi Kitaura, Shinichi Takeda, Katsura Inenaga-Kitaura, Kuniyuki Shirasawa, Chuichi Kawai, Yoshio Sasaki, Myung-Woo Hwang |
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| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Acute coronary syndrome Aging Time Factors medicine.medical_treatment Health Status Kaplan-Meier Estimate Revascularization Coronary Angiography Risk Assessment Japan Risk Factors Angioplasty Internal medicine Activities of Daily Living medicine Humans cardiovascular diseases Risk factor Acute Coronary Syndrome Angioplasty Balloon Coronary Survival rate Proportional Hazards Models Retrospective Studies Aged 80 and over business.industry Patient Selection Age Factors Percutaneous coronary intervention Retrospective cohort study Recovery of Function medicine.disease Survival Rate surgical procedures operative Treatment Outcome Conventional PCI Cardiology Female Cardiology and Cardiovascular Medicine business therapeutics |
| Zdroj: | Heart and vessels. 26(4) |
| ISSN: | 1615-2573 |
| Popis: | Elderly populations are increasingly represented among patients with acute coronary syndrome (ACS), and advanced age has been identified as an important risk factor for death and adverse outcome in patients with ACS treated invasively. Although considerable data have demonstrated a prognostic benefit of early revascularization in ACS particularly in high-risk patients, elderly patients with ACS are treated invasively less often than younger patients because older age is thought to be an independent predictor of mortality after percutaneous coronary intervention (PCI) in ACS. Over the past 5 years, a total of 54 ACS patients over 85 years old were treated. The 6-month survival rate was around 50% in the non-PCI group (n = 12) and around 80% in the PCI group (n = 42) (P < 0.05). Cardiac death occurred in 6 patients in the PCI group and in 6 patients in the non-PCI group. The rates of both cardiac death and all-cause death were significantly lower in the PCI group. The change in ADL score before and 6 months after the procedure was from 1.57 to 1.59 in the PCI group and from 2.25 to 2.20 in the non-PCI group. PCI for elderly patients with ACS is safe and life saving, and does not reduce the ability to perform activities of daily living. PCI should be recommended even for octo-nonagenerians with ACS. |
| Databáze: | OpenAIRE |
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