Revascularização coronaria percutânea primária no infarto agudo do miocárdio. Análise comparativa dos resultados imediatos em pacientes progressivamente longevos / Acute myocardial infarction in progressively elderly patients. A comparative analysis of immediate results in patients who underwent primary percutaneous coronary intervention
Arq. bras. cardiol
;
76(1): 53-62, jan. 2001. tab
Artículo
en Portugués, Inglés
| LILACS, SES-SP
| ID: lil-279898
ABSTRACT
OBJECTIVE:
Analysis of the in-hospital results, in progressively elderly patients who undergo primary percutaneous coronary intervention (PCI) in the first 24 hours of AMI.METHODS:
The patients were divided into three different age groups (60/69, 70/79, and > or = 80 years) and were treated from 7/95 until 12/99. The primary success rate and the occurrence of major clinical events were analyzed at the end of the in-hospital phase. Coronary stent implantation and abciximab use were employed at the intervencionist discretion.RESULTS:
We analyzed 201 patients with age ranging from 60 to 93 years, who underwent primary PCI. Patients with ages above 70 were more often female (p=.015). Those with ages above 80 were treated later with PCI (p=.054), and all of them presented with total occlusion of the infarct-related artery. Coronary stents were implanted in 30 percent of the patients. Procedural success was lower in > or = 80 year old patients (p=.022), and the death rate was higher in > or = 70 years olds (p=.019). Reinfarction and coronary bypass surgery were uncommon events. A trend occurred toward a higher combined incidence of major in-hospital events according to increased age (p=.064).CONCLUSION:
Elderly patients ( > or = 70 years) presented with adverse clinical and angiographic profiles and patients > or = 80 years of age obtained reduced TIMI 3 flow success rates after primary PTCA, and those > or = 70 years had a higher death rate
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Angioplastia Coronaria con Balón
/
Infarto del Miocardio
Límite:
Aged80
Idioma:
Inglés
/
Portugués
Revista:
Arq. bras. cardiol
Año:
2001
Tipo del documento:
Artículo
Institución/País de afiliación:
Instituto Dante Pazzanese de Cardiologia/BR
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