PMID- 29118947
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200930
IS  - 2008-5117 (Print)
IS  - 2008-6830 (Electronic)
IS  - 2008-5117 (Linking)
VI  - 9
IP  - 3
DP  - 2017
TI  - In-Hospital and long term results of primary angioplasty and medical therapy in 
      nonagenarian patients with acute myocardial infarction.
PG  - 147-151
LID - 10.15171/jcvtr.2017.25 [doi]
AB  - Introduction: Although percutaneous coronary intervention is an accepted 
      "first-line" therapy in acute ST elevation myocardial infarction (STEMI) in 
      general population, few data are available on the short- and long-term outcomes 
      of very old patients (age >90 years). Our aim is to evaluate and compare the 
      short and long-term outcomes after primary percutaneous coronary intervention 
      (PPCI) or medical therapy in nonagenarian patients with STEMI. Methods: We 
      retrospectively identified patients older than 90 years old in our clinic, with 
      acute STEMI who presented within 12 hours after symptoms onset, either underwent 
      PPCI or medically treated. In hospital events and long-term results analyzed 
      subsequently. Results: From January 2005 to December 2014, 73 patients with STEMI 
      either underwent PPCI (PPCI group n = 42) or had only medical treatment (Non-PPCI 
      group n = 31). Mean age was 92.4 +/- 3.1 (90-106). Patients were followed 26.5 +/- 
      20.1 months. Recurrent myocardial infarction during hospitalization was not 
      observed in both groups. In-hospital mortality, cerebrovascular events and acute 
      renal failure rate were similar between two groups (respectively P = 0.797 and P 
      = 1.000, P = 0.288), whereas arrhythmia was significantly higher in the PPCI 
      group ( 0; 21.4%, P = 0.009). Results show re-infarction was similar in both 
      groups (respectively 3.2%; 11.9%, P = 0.382) but mortality in long-term was 
      significantly lower in the PPCI group (respectively 40.9%; 12.9%, P = 0.02). 
      Conclusion: In nonagenarian patients, with STEMI mortality is very high. 
      Although; in-hospital events were similar, the long-term mortality rate was 
      significantly lower in patients treated with PPCI.
FAU - Sahin, Muslum
AU  - Sahin M
AD  - Kartal Kosuyolu Heart Education and Research Hospital, Department of Cardiology, 
      Istanbul, Turkey.
FAU - Ocal, Lutfi
AU  - Ocal L
AD  - Kartal Kosuyolu Heart Education and Research Hospital, Department of Cardiology, 
      Istanbul, Turkey.
FAU - Kalkan, Ali Kemal
AU  - Kalkan AK
AD  - Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research 
      Hospital, Department of Cardiology, Istanbul, Turkey.
FAU - Kilicgedik, Alev
AU  - Kilicgedik A
AD  - Kartal Kosuyolu Heart Education and Research Hospital, Department of Cardiology, 
      Istanbul, Turkey.
FAU - Kalkan, Mehmet Emin
AU  - Kalkan ME
AD  - Kartal Kosuyolu Heart Education and Research Hospital, Department of Cardiology, 
      Istanbul, Turkey.
FAU - Teymen, Burak
AU  - Teymen B
AD  - Emsey Hospital, Department of Cardiology, Istanbul, Turkey.
FAU - Arslantas, Ugur
AU  - Arslantas U
AD  - Kartal Kosuyolu Heart Education and Research Hospital, Department of Cardiology, 
      Istanbul, Turkey.
FAU - Turkmen, Mehmet Muhsin
AU  - Turkmen MM
AD  - Kartal Kosuyolu Heart Education and Research Hospital, Department of Cardiology, 
      Istanbul, Turkey.
LA  - eng
PT  - Journal Article
DEP - 20170930
PL  - Iran
TA  - J Cardiovasc Thorac Res
JT  - Journal of cardiovascular and thoracic research
JID - 101528712
PMC - PMC5670336
OTO - NOTNLM
OT  - Elderly
OT  - Myocardial Infarction
OT  - Nonagenarian
OT  - Primary Percutaneous Intervention
EDAT- 2017/11/10 06:00
MHDA- 2017/11/10 06:01
PMCR- 2017/01/01
CRDT- 2017/11/10 06:00
PHST- 2017/05/04 00:00 [received]
PHST- 2017/09/16 00:00 [accepted]
PHST- 2017/11/10 06:00 [entrez]
PHST- 2017/11/10 06:00 [pubmed]
PHST- 2017/11/10 06:01 [medline]
PHST- 2017/01/01 00:00 [pmc-release]
AID - 10.15171/jcvtr.2017.25 [doi]
PST - ppublish
SO  - J Cardiovasc Thorac Res. 2017;9(3):147-151. doi: 10.15171/jcvtr.2017.25. Epub 
      2017 Sep 30.