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Netherlands Heart Journal
Gepubliceerd in: Netherlands Heart Journal 3/2010

01-03-2010 | Original article

Procedural and long-term outcome of primary percutaneous coronary intervention in octogenarians

Auteurs: L. A. A. Moonen, M. van ’t Veer, N. H. J. Pijls

Gepubliceerd in: Netherlands Heart Journal | Uitgave 3/2010

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Abstract

Background/objectives. To investigate the procedural and long-term outcome of primary percutaneous coronary intervention (PCI) in octogenarians with an acute myocardial infarction.
Methods. We performed a retrospective analysis of all consecutive octogenarian patients (n=98) with an acute myocardial infarction treated with primary PCI in the Catharina Hospital in the year 2006. We compared procedural results and outcome with a matched control group composed of non-octogenarians undergoing primary PCI. Follow-up period was one year.
Results. The initial success rate of PCI was similar in the two groups but short-term mortality was higher among the elderly patients: 30-day mortality 26.3 vs. 9.6%. Age-adjusted mortality between 30 days and one year was comparable in the two groups and similar to natural survival in the Netherlands. Octogenarians were less likely to have a normal left ventricular function during follow-up (48.3 vs. 66.7%). New York Heart Association (NYHA) class and recurrence rate of myocardial infarction was higher among octogenarians.
Conclusion. Technical success rate during primary PCI was as good for octogenarians as in younger patients, but 30-day mortality, though acceptable, was higher among the elderly. After 30 days, age-adjusted mortality was comparable in both groups. (Neth Heart J 2010;18:129-34.)
vorige artikel Predictors of ventricular tachyarrhythmia in high-risk myocardial infarction patients treated with primary coronary intervention
volgende artikel The role of cardiac magnetic resonance imaging in differentiating the underlying causes of left ventricular hypertrophy
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Metagegevens
Titel
Procedural and long-term outcome of primary percutaneous coronary intervention in octogenarians
Auteurs
L. A. A. Moonen
M. van ’t Veer
N. H. J. Pijls
Publicatiedatum
01-03-2010
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 3/2010
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/BF03091751

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