PMID- 16276371
OWN - NLM
STAT- MEDLINE
DCOM- 20051128
LR  - 20101118
IS  - 0807-7096 (Electronic)
IS  - 0029-2001 (Linking)
VI  - 125
IP  - 21
DP  - 2005 Nov 3
TI  - [Primary angioplasty in acute ST elevation myocardial infarction in the elderly].
PG  - 2922-4
AB  - BACKGROUND: Based on data from the literature, it has been suggested that elderly 
      patients with acute myocardial infarction will benefit more from primary 
      angioplasty than from thrombolysis. MATERIAL AND METHODS: Data for 100 
      consecutive patients, age 75 years or more, presenting with an acute ST elevation 
      myocardial infarction (STEMI) without cardiogenic shock and treated with primary 
      angioplasty were analysed retrospectively. Some variables were compared with 
      previously published data on a group of 100 younger patients (mean age 59) with 
      STEMI. RESULTS: Angiographically, the success rate of revascularization was 
      similar between the elderly (mean age 80) and the younger STEMI patients. 
      Mortality, both at 30 days and at 1 year, was higher among the elderly patients 
      compared with the younger (15% vs. 1% and 21% vs. 3% respectively, both p < 
      0.001). In the same time period, primary angioplasty was performed in seven 
      patients > or = 75 years who presented with cardiogenic shock at admission. All 
      of these died during hospitalization. INTERPRETATION: Technically, the success 
      rate of primary angioplasty in elderly patients with STEMI was similar to that in 
      younger STEMI patients. Mortality after 30 days was significantly higher among 
      the elderly patients, but the mortality rate from 30 days to 1 year after the 
      infarction was similar to that of the same age group in the general population. 
      Patients > or = 75 years presenting with STEMI and cardiogenic shock had no 
      benefit of angioplasty; all died during hospitalization.
FAU - Eritsland, Jan
AU  - Eritsland J
AD  - Hjertemedisinsk avdeling, Ulleval universitetssykehus, 0407 Oslo. jeri@uus.no
FAU - Klow, Nils-Einar
AU  - Klow NE
FAU - Westheim, Arne
AU  - Westheim A
FAU - Bendz, Bjorn
AU  - Bendz B
FAU - Mangschau, Arild
AU  - Mangschau A
LA  - nor
PT  - Comparative Study
PT  - English Abstract
PT  - Journal Article
TT  - Primaer angioplastikk ved akutt ST-hevningsinfarkt hos eldre.
PL  - Norway
TA  - Tidsskr Nor Laegeforen
JT  - Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny 
      raekke
JID - 0413423
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - *Angioplasty, Balloon, Coronary
MH  - Coronary Angiography
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/diagnosis/mortality/*therapy
MH  - Retrospective Studies
MH  - Treatment Outcome
EDAT- 2005/11/09 09:00
MHDA- 2005/12/13 09:00
CRDT- 2005/11/09 09:00
PHST- 2005/11/09 09:00 [pubmed]
PHST- 2005/12/13 09:00 [medline]
PHST- 2005/11/09 09:00 [entrez]
AID - 1279113 [pii]
PST - ppublish
SO  - Tidsskr Nor Laegeforen. 2005 Nov 3;125(21):2922-4.