PMID- 20235207
OWN - NLM
STAT- MEDLINE
DCOM- 20110607
LR  - 20200225
IS  - 1932-8737 (Electronic)
IS  - 0160-9289 (Print)
IS  - 0160-9289 (Linking)
VI  - 33
IP  - 3
DP  - 2010 Mar
TI  - Primary percutaneous coronary interventions in nonagenarians.
PG  - 157-61
LID - 10.1002/clc.20720 [doi]
AB  - BACKGROUND: The optimal treatment of very elderly patients with ST elevation 
      myocardial infarction (STEMI) is not yet defined. The aim of this study is to 
      present the feasibility and safety of primary percutaneous coronary interventions 
      (PCI) in nonagenarians. METHODS: A retrospective analysis of all patients who 
      underwent primary PCI due to STEMI between 2004 and 2008 was performed. Patients 
      age 90 years or older at the time of the procedure were identified and studied. 
      RESULTS: Twenty-two patients fulfilled the study criteria (median age 92 years; 
      range, 90-97 years; 50% women). The procedural success rate was 82%. Bare metal 
      stent implantation was performed in 82% of the procedures, whereas only balloon 
      angioplasty was performed on the rest of them. One patient experienced a minor 
      bleeding complication. Procedural mortality was 9% (2 out of 22 patients), and it 
      was due to "no flow" phenomenon in both patients. In-hospital mortality was 27% 
      (6/22 patients) and 30-day mortality was 32% (7/22 patients). All 3 patients with 
      Killip class III-IV on admission died within 30 days compared with 4 of the 19 
      patients with Killip class I-II (P = 0.023). Furthermore, of 11 patients with 
      anterior infarction, 7 died within 30 days compared with none of the 11 patients 
      with infarction of other location (P = 0.004). CONCLUSIONS: Although primary PCI 
      is feasible in patients 90 years or older suffering from STEMI, the short-term 
      mortality rate is high especially in patients with anterior infarct location 
      and/or severely depressed myocardial function.
CI  - Copyright (c) 2010 Wiley Periodicals, Inc.
FAU - Koutouzis, Michael
AU  - Koutouzis M
AD  - Department of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden. 
      michail.koutouzis@vgregion.se
FAU - Grip, Lars
AU  - Grip L
FAU - Matejka, Goran
AU  - Matejka G
FAU - Albertsson, Per
AU  - Albertsson P
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Clin Cardiol
JT  - Clinical cardiology
JID - 7903272
SB  - IM
MH  - Age Factors
MH  - Aged
MH  - Aged, 80 and over
MH  - Angioplasty, Balloon
MH  - Angioplasty, Balloon, Coronary/*adverse effects/mortality/statistics & numerical 
      data
MH  - Feasibility Studies
MH  - Female
MH  - Heart Ventricles
MH  - Hospital Mortality
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/*therapy
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Stents
MH  - Sweden
MH  - Treatment Outcome
PMC - PMC6653562
EDAT- 2010/03/18 06:00
MHDA- 2011/06/08 06:00
PMCR- 2010/03/16
CRDT- 2010/03/18 06:00
PHST- 2010/03/18 06:00 [entrez]
PHST- 2010/03/18 06:00 [pubmed]
PHST- 2011/06/08 06:00 [medline]
PHST- 2010/03/16 00:00 [pmc-release]
AID - CLC20720 [pii]
AID - 10.1002/clc.20720 [doi]
PST - ppublish
SO  - Clin Cardiol. 2010 Mar;33(3):157-61. doi: 10.1002/clc.20720.