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Comparison of Safety after Percutaneous Coronary Intervention Between Octogenarians and Counterparts with Coronary Artery Disease
Article in En | WPRIM | ID: wpr-88237
Responsible library: WPRO
ABSTRACT
BACKGROUND: Elderly patients usually have comorbid and poor general conditions. They are more likely to have complex coronary lesions with cardiac dysfunction. Percutaneous coronary intervention (PCI) in octogenarians remains controversial. In this study, we determined the safety after PCI for octogenarians and their younger counterparts with coronary artery disease. METHODS: We reviewed 1,057 patients (110 octogenarians vs. 947 younger counterparts) who underwent PCI for coronary artery disease at Saint Carollo Hospital. We analyzed the baseline characteristics, angiographic findings, in hospital mortality, and post procedural complications between the two groups. RESULTS: The mean ages of octogenarians and younger counterparts were 83.1+/-4.5 years and 62.6+/-10.3 years, respectively. The octogenarian group had a significantly (p<0.001) higher ratio of female patients compared to their younger counterpart group (57.3% vs. 27.5%). However, the octogenarian group had a significantly (p=0.035) lower ratio of patients with history of diabetes mellitus compare to their younger counterpart group (22.7% vs. 32.6%). Incidence of acute myocardial infarction in octogenarians was significantly (p<0.001) higher than that in the younger counterparts (43.7% vs. 18.0%). There was no significant difference in admission duration, major complication, or in-hospital mortality between two groups. CONCLUSION: Our results revealed that hospital mortality and incidence of major complications in octogenarians who underwent invasive PCI were not higher than those in their younger counterparts, suggesting that PCI could be safely used in patients aged 80 years or older. However, long-term follow-up data are needed.
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Full text: 1 Index: WPRIM Main subject: Coronary Artery Disease / Incidence / Follow-Up Studies / Hospital Mortality / Saints / Coronary Vessels / Diabetes Mellitus / Percutaneous Coronary Intervention / Myocardial Infarction Type of study: Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Aged / Aged80 / Female / Humans Language: En Journal: Journal of the Korean Geriatrics Society Year: 2015 Type: Article
Full text: 1 Index: WPRIM Main subject: Coronary Artery Disease / Incidence / Follow-Up Studies / Hospital Mortality / Saints / Coronary Vessels / Diabetes Mellitus / Percutaneous Coronary Intervention / Myocardial Infarction Type of study: Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Aged / Aged80 / Female / Humans Language: En Journal: Journal of the Korean Geriatrics Society Year: 2015 Type: Article