Quality and Outcomes Outcomes and Predictors of Mortality Among Octogenarians and Older With ST-Segment Elevation Myocardial Infarction Treated With Primary Coronary Angioplasty
Address for correspondence: Giorgio Caretta, MD Department of Cardiology A.O. ‘‘Istituti Ospitalieri’’ di Cremona Viale Concordia, 1 26100 Cremona, Italy, [email protected]
Giorgio Caretta, MD; Enrico Passamonti, MD; Paolo Nicola Pedroni, MD; Bianca Maria Fadin, MD; Gian Luca Galeazzi, MD; Salvatore Pirelli, MD Department of Cardiology, A.O. ‘‘Istituti Ospitalieri’’ di Cremona, Cremona, Italy
Background: Elderly patients are at high risk of mortality when they present with ST-elevation myocardial infarction (STEMI). However, few data exist about prognostic factors in this sub-group when treated with primary percutaneous coronary intervention (pPCI). Hypothesis: To assess outcome and predictors of mortality among patients aged >80 years treated with pPCI. Methods: We evaluated 139 consecutive patients (age 85.1 ± 3.9 years, 43.2% males) who underwent pPCI for STEMI. Results: Male patients were younger and were more likely to have a history of coronary artery disease. Overall 30-day and 1-year mortality rates were 20.9% and 28.1%, respectively. Thrombolysis in Myocardial Infarction (TIMI) flow 3 was achieved in 82% of patients. There was a pPCI success rate in male patients. At univariable analysis, older age, diabetes mellitus, Killip class >III, left ventricular ejection fraction (LVEF)
Address for correspondence: Giorgio Caretta, MD Department of Cardiology A.O. ‘‘Istituti Ospitalieri’’ di Cremona Viale Concordia, 1 26100 Cremona, Italy, [email protected]
Giorgio Caretta, MD; Enrico Passamonti, MD; Paolo Nicola Pedroni, MD; Bianca Maria Fadin, MD; Gian Luca Galeazzi, MD; Salvatore Pirelli, MD Department of Cardiology, A.O. ‘‘Istituti Ospitalieri’’ di Cremona, Cremona, Italy
Background: Elderly patients are at high risk of mortality when they present with ST-elevation myocardial infarction (STEMI). However, few data exist about prognostic factors in this sub-group when treated with primary percutaneous coronary intervention (pPCI). Hypothesis: To assess outcome and predictors of mortality among patients aged >80 years treated with pPCI. Methods: We evaluated 139 consecutive patients (age 85.1 ± 3.9 years, 43.2% males) who underwent pPCI for STEMI. Results: Male patients were younger and were more likely to have a history of coronary artery disease. Overall 30-day and 1-year mortality rates were 20.9% and 28.1%, respectively. Thrombolysis in Myocardial Infarction (TIMI) flow 3 was achieved in 82% of patients. There was a pPCI success rate in male patients. At univariable analysis, older age, diabetes mellitus, Killip class >III, left ventricular ejection fraction (LVEF)
