Abstract
Background: Although octogenarians constitute a fast growing portion of cardiovascular patients, few data are available on the outcome of very old patients (age >80 years) with ST-segment elevation myocardial infarction (STEMI) undergoing primary angioplasty. Methods and Results: Short- and long-term outcomes of 88 consecutive very old (age ≥85 years) patients with STEMI undergoing primary angioplasty were evaluated. In-hospital mortality was 17%, significantly higher in patients with cardiogenic shock (90%; p12h (p=0.04) as independent predictors of mortality at long-term follow-up. Conclusions: The low incidence of procedural complications, together with good long term survival, suggest that primary PCI in STEMI patients ≥85 years is safe and efficacious, with a low rate of PCI failure in the presence of a low Killip class on admission, whereas primary PCI is unable to affect the poor prognosis for very old patients with cardiogenic shock.
| Original language | English |
|---|---|
| Pages (from-to) | 67-70 |
| Number of pages | 4 |
| Journal | Circulation Journal |
| Volume | 72 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 2008 |
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Keywords
- Angioplasty
- Elderly
- Myocardial infarction
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Physiology
Cite this
Effectiveness and safety of routine primary angioplasty in patients aged ≥85 years with acute myocardial infarction. / Valente, Serafina; Lazzeri, Chiara; Salvadori, Claudia; Chiostri, Marco; Giglioli, Cristina; Poli, Serena; Gensini, Gian Franco.
In: Circulation Journal, Vol. 72, No. 1, 2008, p. 67-70.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Effectiveness and safety of routine primary angioplasty in patients aged ≥85 years with acute myocardial infarction
AU - Valente, Serafina
AU - Lazzeri, Chiara
AU - Salvadori, Claudia
AU - Chiostri, Marco
AU - Giglioli, Cristina
AU - Poli, Serena
AU - Gensini, Gian Franco
PY - 2008
Y1 - 2008
N2 - Background: Although octogenarians constitute a fast growing portion of cardiovascular patients, few data are available on the outcome of very old patients (age >80 years) with ST-segment elevation myocardial infarction (STEMI) undergoing primary angioplasty. Methods and Results: Short- and long-term outcomes of 88 consecutive very old (age ≥85 years) patients with STEMI undergoing primary angioplasty were evaluated. In-hospital mortality was 17%, significantly higher in patients with cardiogenic shock (90%; p12h (p=0.04) as independent predictors of mortality at long-term follow-up. Conclusions: The low incidence of procedural complications, together with good long term survival, suggest that primary PCI in STEMI patients ≥85 years is safe and efficacious, with a low rate of PCI failure in the presence of a low Killip class on admission, whereas primary PCI is unable to affect the poor prognosis for very old patients with cardiogenic shock.
AB - Background: Although octogenarians constitute a fast growing portion of cardiovascular patients, few data are available on the outcome of very old patients (age >80 years) with ST-segment elevation myocardial infarction (STEMI) undergoing primary angioplasty. Methods and Results: Short- and long-term outcomes of 88 consecutive very old (age ≥85 years) patients with STEMI undergoing primary angioplasty were evaluated. In-hospital mortality was 17%, significantly higher in patients with cardiogenic shock (90%; p12h (p=0.04) as independent predictors of mortality at long-term follow-up. Conclusions: The low incidence of procedural complications, together with good long term survival, suggest that primary PCI in STEMI patients ≥85 years is safe and efficacious, with a low rate of PCI failure in the presence of a low Killip class on admission, whereas primary PCI is unable to affect the poor prognosis for very old patients with cardiogenic shock.
KW - Angioplasty
KW - Elderly
KW - Myocardial infarction
UR - http://www.scopus.com/inward/record.url?scp=39849086565&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=39849086565&partnerID=8YFLogxK
U2 - 10.1253/circj.72.67
DO - 10.1253/circj.72.67
M3 - Article
C2 - 18159102
AN - SCOPUS:39849086565
VL - 72
SP - 67
EP - 70
JO - Circulation Journal
JF - Circulation Journal
SN - 1346-9843
IS - 1
ER -