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 |
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Pages (from-to) | 67-70 |
Number of pages | 4 |
Journal | Circulation Journal |
Volume | 72 |
Issue number | 1 |
DOIs | |
Publication status | Published - 2008 |
Keywords
- Angioplasty
- Elderly
- Myocardial infarction
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Physiology