PMID- 20390063 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20110714 LR - 20211020 IS - 1876-6250 (Electronic) IS - 1568-5888 (Print) IS - 1568-5888 (Linking) VI - 18 IP - 3 DP - 2010 Mar TI - Procedural and long-term outcome of primary percutaneous coronary intervention in octogenarians. PG - 129-34 AB - 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.). FAU - Moonen, L A A AU - Moonen LA AD - Department of Cardiology, Catharina Hospital, Eindhoven, the Netherlands. FAU - van 't Veer, M AU - van 't Veer M FAU - Pijls, N H J AU - Pijls NH LA - eng PT - Journal Article PL - Netherlands TA - Neth Heart J JT - Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation JID - 101095458 PMC - PMC2848355 OTO - NOTNLM OT - Angioplasty, Transluminal, Percutaneous Coronary OT - Myocardial Infarction OT - Treatment Outcome EDAT- 2010/04/15 06:00 MHDA- 2010/04/15 06:01 PMCR- 2010/03/01 CRDT- 2010/04/15 06:00 PHST- 2010/04/15 06:00 [entrez] PHST- 2010/04/15 06:00 [pubmed] PHST- 2010/04/15 06:01 [medline] PHST- 2010/03/01 00:00 [pmc-release] AID - 10.1007/BF03091751 [doi] PST - ppublish SO - Neth Heart J. 2010 Mar;18(3):129-34. doi: 10.1007/BF03091751.