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Predictors of mortality and adverse outcome in elderly high-risk patients undergoing percutaneous coronary intervention / Predictores de mortalidad y mal pronóstico en pacientes ancianos y de alto riesgo que van a ser sometidos a intervención coronaria percutánea
Miranda Malpica, Emma; Peña Duque, Marco Antonio; Castellanos, José; Exaire, Emilio; Arrieta, Oscar; Salazar Dávila, Eduardo; Villavicencio Fernández, Ramón; Delgadillo-Rodríguez, Hilda; González-Quesada, Carlos J; Martínez-Ríos, Marco A.
  • Miranda Malpica, Emma; The National Institute of Cardiology. Mexico City. MX
  • Peña Duque, Marco Antonio; The National Institute of Cardiology. Mexico City. MX
  • Castellanos, José; The National Institute of Cardiology. Mexico City. MX
  • Exaire, Emilio; National Institute of Cancer. Mexico City. MX
  • Arrieta, Oscar; The National Institute of Cardiology. Mexico City. MX
  • Salazar Dávila, Eduardo; The National Institute of Cardiology. Mexico City. MX
  • Villavicencio Fernández, Ramón; The National Institute of Cardiology. Mexico City. MX
  • Delgadillo-Rodríguez, Hilda; The National Institute of Cardiology. Mexico City. MX
  • González-Quesada, Carlos J; The National Institute of Cardiology. Mexico City. MX
  • Martínez-Ríos, Marco A; The National Institute of Cardiology. Mexico City. MX
Arch. cardiol. Méx ; 77(3): 194-199, jul.-sept. 2007. tab, graf
Article in English | LILACS | ID: lil-566681
ABSTRACT

OBJECTIVES:

We sought to identify predictors of in-hospital and long-term (> 1 year) mortality and major adverse cardiac events (MACE) in elderly patients referred for percutaneous coronary intervention (PCI).

METHODS:

Seventy-three patients (> or = 80 years) were included. Clinical and interventional characteristics were collected retrospectively. Primary end points were in-hospital and long-term mortality, and a composite of non-fatal myocardial infarction, target vessel revascularization, urgent coronary artery bypass graft surgery, and death (MACE).

RESULTS:

Eighty-three percent of the patients had acute coronary syndromes, 43% three-vessel disease, and 42% heart failure. In-hospital mortality and MACE were 16.4% and 19%, respectively. Long-term mortality and MACE were 11.3% and 16.4%, respectively. Univariate characteristics associated with in-hospital mortality and MACE were Killip Class III-IV, heart failure, cardiogenic shock, TIMI 0-2 flow prior and after intervention, diabetes mellitus, contrast nephropathy, and presence of A-V block or atrial fibrillation (AF). Long term predictors for mortality were the presence of heart failure, cardiogenic shock, diabetes mellitus, TIMI flow 0-2 before and after intervention, and A-V block or AF.

CONCLUSION:

The identification of the factors previously mentioned may help to predict complications in elderly patients.
Subject(s)
Full text: Available Index: LILACS (Americas) Main subject: Cardiovascular Diseases / Angioplasty, Balloon, Coronary Type of study: Etiology study / Observational study / Prognostic study / Risk factors Limits: Aged / Aged80 / Female / Humans / Male Language: English Journal: Arch. cardiol. Méx Journal subject: Cardiology Year: 2007 Type: Article Affiliation country: Brazil / Mexico Institution/Affiliation country: National Institute of Cancer/MX / The National Institute of Cardiology/MX

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Full text: Available Index: LILACS (Americas) Main subject: Cardiovascular Diseases / Angioplasty, Balloon, Coronary Type of study: Etiology study / Observational study / Prognostic study / Risk factors Limits: Aged / Aged80 / Female / Humans / Male Language: English Journal: Arch. cardiol. Méx Journal subject: Cardiology Year: 2007 Type: Article Affiliation country: Brazil / Mexico Institution/Affiliation country: National Institute of Cancer/MX / The National Institute of Cardiology/MX