Coronary stent implantation in patients older than 75 years of age: clinical profile and initial and long-term (3 years) outcome

American Heart Journal
Juan C MuñozFrancisco Fernandez-Aviles

Abstract

The objective of this study was to compare the initial and long-term outcome of elderly and younger patients after coronary stent implantation. The evolutions of 76 patients aged >75 years and of 860 patients aged < or =75 years who underwent consecutive stenting (from June 1991 to June 1997) were compared in a cohort study. The elderly patients had lower left ventricular ejection fractions (0.58 +/- 0.14 vs 0.61 +/- 0.13; P =.03) and more frequently had unstable angina (78.9% vs 55.3%; P <.0001), previous heart failure (10.5% vs 4.9%; P =.03), and multivessel disease (68.4% vs 58.3%; P =.08). After the procedure, the elderly patients showed a higher inhospital mortality rate (6.6% vs 2.4%; P =.03) and myocardial infarction rate (5.3% vs 1.7%; P =.04). The long-term follow-up period (mean, 3.2 +/- 1.4 years; median, 3.0 years) showed in the elderly a higher mortality rate (15.4% vs 5.8%; P =.006), a lower rate of repeat revascularization (9.2% vs 19.7%; P =.04), and a similar incidence rate of major adverse cardiac events (27.7% vs 28.2%; P =.93). Multivariate analysis of the elderly group identified female gender (hazard ratio, 2.19; 95% CI, 1.18 to 4.06; P =.012) and presence of multivessel disease (hazard ratio, 2.35; 95% CI...Continue Reading

Citations

Feb 16, 2012·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Harald RittgerUwe Zeymer
Jul 7, 2011·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·James B HermillerGregg W Stone
Oct 1, 2011·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Neville KukrejaUNKNOWN interventional cardiologists of the Thoraxcenter (2000-5)
May 15, 2012·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·James B HermillerGregg W Stone
Mar 12, 2016·Medicina clínica·Manuel Martínez-SellésMaría Teresa Vidán
Nov 29, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Harald RittgerJohannes Rieber
May 8, 2004·American Heart Journal·Stefano De ServiUNKNOWN ROSAI-2 Investigators
Dec 18, 2004·Annales de cardiologie et d'angéiologie·Y GottwallesM Hanssen
Apr 14, 2016·Semergen·M Martínez-SellésM T Vidán
May 24, 2008·Journal of the American College of Cardiology·H Vernon Anderson
Apr 23, 2016·Revista española de geriatría y gerontología·Manuel Martínez-SellésMaría Teresa Vidán
Sep 7, 2016·Scandinavian Cardiovascular Journal : SCJ·Salim Bary Barywani, Max Petzold
Dec 23, 2015·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Olivier VarennePeter Sinnaeve
Jul 5, 2017·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·Alparslan Kurtul
Jun 15, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jin H HanUNKNOWN Emergency Medicine Cardiac Research and Education Group Internet Tracking Registry for Acute Coronary Syndromes (i*trACS) In
Jul 11, 2007·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Igal TeplitskyRan Kornowski

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