ACUTE MYOCARDIAL INFARCTION IN OLDER ADULT PATIENTS
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| Format: | Artículo científico |
| Language: | en |
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Sociedade Brasileira de Geriatria e Gerontologia
2020
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| author | Marcia Moura Schmidt |
| author_facet | Marcia Moura Schmidt |
| contents | ACUTE MYOCARDIAL INFARCTION IN OLDER ADULT PATIENTS Marcia Moura Schmidt Cristina Klein Weber Carlos Antonio Mascia Gottschall Alexandre Schaan de Quadros Multidisciplinaria (Ciencias Naturales y Exactas) aged angioplasty critical care Myocardial infarction health services for the aged OBJECTIVES: To assess clinical and coronary angiographic characteristics, previous medical history, and clinical course, by age group, in older adults after myocardial infarction who underwent primary percutaneous coronary intervention (pPCI). METHODS: Single-center, cohort study that enrolled all patients with ST-segment elevation myocardial infarction who underwent pPCI at a specialized cardiology reference center in the South of Brazil. Older adults were defined as age ≥ 60 years, as set out in Brazilian legislation. Patients in the following age groups were compared: 60 to 64 years, 65 to 69 years, 70 to 74 years, 75 to 79 years, and ≥ 80 years. Patients’ clinical course was assessed at initial hospital admissions and after 2 years of clinical follow-up. Data were analyzed using SPSS 19, and significance was established at p < 0.05. RESULTS: From December 2015 to December 2018, a total of 636 patients were enrolled consecutively. Angiographic success rates were around 90% in all age groups. There were no differences in medications used, except for glycoprotein IIb/IIIa inhibitors, which were more frequently used in patients of lower age groups. Older patients had more in-hospital acute renal failure and higher in-hospital mortality. Predictors of mortality were age over 75, chronic renal failure, need for ventilatory support, severe arrhythmia, and sepsis. CONCLUSIONS: pPCI in older adult patients is a safe procedure with a high success rate. 2020 artículo científico 2447-2115 https://www.redalyc.org/articulo.oa?id=739780748006 en http://www.redalyc.org/revista.oa?id=7397 Geriatrics, Gerontology and Aging application/pdf Sociedade Brasileira de Geriatria e Gerontologia Geriatrics, Gerontology and Aging (Brasil) Num.2 Vol.14 |
| format | Artículo científico |
| id | redalyc_739780748006 |
| institution | Redalyc |
| language | en |
| publishDate | 2020 |
| publisher | Sociedade Brasileira de Geriatria e Gerontologia |
| spellingShingle | ACUTE MYOCARDIAL INFARCTION IN OLDER ADULT PATIENTS Marcia Moura Schmidt Multidisciplinaria (Ciencias Naturales y Exactas) aged angioplasty critical care Myocardial infarction health services for the aged ACUTE MYOCARDIAL INFARCTION IN OLDER ADULT PATIENTS Marcia Moura Schmidt Cristina Klein Weber Carlos Antonio Mascia Gottschall Alexandre Schaan de Quadros Multidisciplinaria (Ciencias Naturales y Exactas) aged angioplasty critical care Myocardial infarction health services for the aged OBJECTIVES: To assess clinical and coronary angiographic characteristics, previous medical history, and clinical course, by age group, in older adults after myocardial infarction who underwent primary percutaneous coronary intervention (pPCI). METHODS: Single-center, cohort study that enrolled all patients with ST-segment elevation myocardial infarction who underwent pPCI at a specialized cardiology reference center in the South of Brazil. Older adults were defined as age ≥ 60 years, as set out in Brazilian legislation. Patients in the following age groups were compared: 60 to 64 years, 65 to 69 years, 70 to 74 years, 75 to 79 years, and ≥ 80 years. Patients’ clinical course was assessed at initial hospital admissions and after 2 years of clinical follow-up. Data were analyzed using SPSS 19, and significance was established at p < 0.05. RESULTS: From December 2015 to December 2018, a total of 636 patients were enrolled consecutively. Angiographic success rates were around 90% in all age groups. There were no differences in medications used, except for glycoprotein IIb/IIIa inhibitors, which were more frequently used in patients of lower age groups. Older patients had more in-hospital acute renal failure and higher in-hospital mortality. Predictors of mortality were age over 75, chronic renal failure, need for ventilatory support, severe arrhythmia, and sepsis. CONCLUSIONS: pPCI in older adult patients is a safe procedure with a high success rate. 2020 artículo científico 2447-2115 https://www.redalyc.org/articulo.oa?id=739780748006 en http://www.redalyc.org/revista.oa?id=7397 Geriatrics, Gerontology and Aging application/pdf Sociedade Brasileira de Geriatria e Gerontologia Geriatrics, Gerontology and Aging (Brasil) Num.2 Vol.14 |
| title | ACUTE MYOCARDIAL INFARCTION IN OLDER ADULT PATIENTS |
| topic | Multidisciplinaria (Ciencias Naturales y Exactas) aged angioplasty critical care Myocardial infarction health services for the aged |
| url | https://www.redalyc.org/articulo.oa?id=739780748006 |