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Clinical Outcomes of Elderly Patients with Non ST-Segment Elevation Myocardial Infarction Undergoing Coronary Artery Bypass Surgery / 전남의대학술지
Chonnam Medical Journal ; : 41-47, 2018.
Artigo em Inglês | WPRIM | ID: wpr-739313
ABSTRACT
The aim of this study is to investigate the clinical outcomes of the elderly patients with Non ST-segment elevation myocardial infarction (NSTEMI) undergoing coronary artery bypass surgery (CABG) compared to non-elderly patients. Patients with NSTEMI and undergoing CABG (n=451) who were registered in the Korea Acute Myocardial Infarction Registry between December 2003 and August 2012 were divided into two groups.; the non-elderly group ( < 75 years, n=327) and the elderly group (≥75 years, n=124). In-hospital mortality was higher in the elderly group (4.9% vs. 11.3%, p=0.015), but cardiac death, myocardial infarction, and major adverse cardiovascular events (MACE) including cardiac death, myocardial infarction, percutaneous revascularization, and redo-CABG after a one-year follow up were not different between the two groups. Predictors of in-hospital mortality in patients with NSTEMI undergoing CABG were left ventricular (LV) dysfunction (ejection fraction ≤40%) [hazard ratio (HR) 2.76, 95% confidence interval (CI) 1.16–6.57, p=0.022] and age (HR 1.05, 95% CI 1.01–1.10, p=0.047). So elderly NSTEMI patients should be considered for CABG if appropriate, but careful consideration for surgery is required, especially if the patients have severe LV systolic dysfunction.
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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Ponte de Artéria Coronária / Seguimentos / Mortalidade Hospitalar / Vasos Coronários / Morte / Coreia (Geográfico) / Infarto do Miocárdio Tipo de estudo: Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Idoso / Humanos País/Região como assunto: Ásia Idioma: Inglês Revista: Chonnam Medical Journal Ano de publicação: 2018 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Ponte de Artéria Coronária / Seguimentos / Mortalidade Hospitalar / Vasos Coronários / Morte / Coreia (Geográfico) / Infarto do Miocárdio Tipo de estudo: Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Idoso / Humanos País/Região como assunto: Ásia Idioma: Inglês Revista: Chonnam Medical Journal Ano de publicação: 2018 Tipo de documento: Artigo