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January 4, 2011Catheterization and Cardiovascular InterventionsOpen Access

In-hospital and long-term mortality were significantly higher in the ≥75 years group (55% vs. 25%, P < 0.0001; and 62.1% vs. 37.3%, P = 0.005), with PCI failure being the only multivariate predictor of long-term mortality (HR 2.88, 95% CI 1.52-5.46, P = 0.001).

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Why the study?

Does age ≥75 years predict worse in-hospital and long-term survival in AMI patients with cardiogenic shock undergoing PCI?

Population

157 consecutive acute myocardial infarction patients with cardiogenic shock who underwent percutaneous…

Comparison

Age ≥75 years vs Age <75 years

Design

Cohort

Follow-up

average 34 months (range 5-69)

Authors

FTFrancesco TomassiniAGAndrea GagnorAMAlessandro Migliardi

Discussion

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Member takes

Overview

Age ≥75 associated with higher mortality after PCI for AMI shock; leaves open optimal selection criteria in this population.

Structured PICO

Does age ≥75 years predict worse in-hospital and long-term survival in AMI patients with cardiogenic shock undergoing PCI?

P
Population
157 consecutive acute myocardial infarction (AMI) patients with cardiogenic shock (CS) who underwent percutaneous coronary intervention (PCI), including 58 patients (36.9%) aged ≥75 years and 99 patients (63.1%) aged <75 years.
I
Intervention
Age ≥75 years
C
Comparator
Age <75 years
O
Outcome
In-hospital and long-term mortalityhard clinical

PCI can be performed in elderly patients (≥75 years) with AMI and cardiogenic shock with acceptable risk, though in-hospital mortality remains higher than in younger patients.

Cite This Study

Tomassini et al. (2011) studied this question.

synapsesocial.com/papers/6a0faef64fb650da4ffe6430https://doi.org/10.1002/ccd.22911
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