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
Arch. cardiol. Méx
;
77(3): 194-199, jul.-sept. 2007. tab, graf
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Doenças Cardiovasculares
/
Angioplastia Coronária com Balão
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Idoso
/
Aged80
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Arch. cardiol. Méx
Assunto da revista:
Cardiologia
Ano de publicação:
2007
Tipo de documento:
Artigo
País de afiliação:
Brasil
/
México
Instituição/País de afiliação:
National Institute of Cancer/MX
/
The National Institute of Cardiology/MX
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