Managing Nonagenarians with Acute Myocardial Infarction: Invasive versus Conservative Treatment

Autor: Jooho Lee, Kyoung-Woo Seo, Jin-Sun Park, Hyoung-Mo Yang, Hong-Seok Lim, Byoung-Joo Choi, So-Yeon Choi, Myeong-Ho Yoon, Gyo-Seung Hwang, Seung-Jae Tahk, Joon-Han Shin
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Cardiology Research and Practice, Vol 2020 (2020)
Druh dokumentu: article
ISSN: 2090-8016
2090-0597
DOI: 10.1155/2020/8885518
Popis: Background. Limited data are available to support an invasive treatment strategy in nonagenarians with acute myocardial infarction (AMI). We aimed to investigate whether percutaneous coronary intervention (PCI) is beneficial in this frail population. Methods. We retrospectively analyzed 41 nonagenarians with AMI (both ST-segment-elevation and non-ST-segment-elevation MI) between 2006 and 2015 in a single center. We assessed 30-day and one-year mortality rates according to the treatment strategy. Results. Among study subjects, 24 (59%) were treated with PCI (PCI group) and 17 (41%) were treated with conservative management (medical treatment group) per the clinician’s discretion. The median follow-up duration was 30 months (0–74 months). Thirty-day mortality was lower in the PCI group than in the medical treatment group (17% vs. 65%; P
Databáze: Directory of Open Access Journals
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