Particularities in coronary revascularization in elderly patients presenting with ST segment elevation acute myocardial infarction (STEMI)

Publication date: August 2014 Source:Cor et Vasa, Volume 56, Issue 4 Author(s): Maria Dorobanţu , Lucian Câlmâc , Andrada Bogdan , Vlad Bătăilă , Bogdan Drăgoescu , Andrei Radu , Mugur Marinescu , Şerban Arvanitopol , Gabriel Tatu-Chiţoiu , Rodica Niculescu Nowadays, ST elevation acute myocardial infarction (STEMI) is seen with greater incidence in older patients. Current guidelines recommend an immediate invasive evaluation and eventually primary percutaneous coronary intervention (PCI) in all STEMI patients regardless of age. Nevertheless, data in literature show a significant underuse of interventional treatment in older patients with STEMI. Our objective is to assess the in-hospital outcome of the elderly STEMI patients compared to the younger ones in the setting of systematic interventional management. We also discussed some particular aspects which we considered as significant concerning the management of elderly patients with STEMI. We evaluated 975 consecutive STEMI patients admitted to a single centre between January 2012 to July 2013. There were 203 (20.8%) patients ≥75 years old. Compared to the younger group, in the older group there were more women (47. 2% vs 22.7%; p <0.001), an increased prevalence of hypertension (78.8% vs 65.0%; p <0.001) but a decreased prevalence of smoking (13.7% vs 48.8%; p <0.001) and dyslipidemia (54.7% vs 41.3%; p =0.03). The ≥75 years group had more cardiovascular comorbidities: stroke (...
Source: Cor et Vasa - Category: Cardiology Source Type: research