Effectiveness and safety of routine primary angioplasty in patients aged ≥85 years with acute myocardial infarction

Serafina Valente, Chiara Lazzeri, Claudia Salvadori, Marco Chiostri, Cristina Giglioli, Serena Poli, Gian Franco Gensini

Research output: Contribution to journalArticle

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 languageEnglish
Pages (from-to)67-70
Number of pages4
JournalCirculation Journal
Volume72
Issue number1
DOIs
Publication statusPublished - 2008

Keywords

  • Angioplasty
  • Elderly
  • Myocardial infarction

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology

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    Valente, S., Lazzeri, C., Salvadori, C., Chiostri, M., Giglioli, C., Poli, S., & Gensini, G. F. (2008). Effectiveness and safety of routine primary angioplasty in patients aged ≥85 years with acute myocardial infarction. Circulation Journal, 72(1), 67-70. https://doi.org/10.1253/circj.72.67