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June 7, 2018BMC GeriatricsOpen Access

Improved short and long term survival associated with percutaneous coronary intervention in the elderly patients with acute coronary syndrome

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Key result

In elderly patients with acute coronary syndrome, percutaneous coronary intervention was associated with significantly improved survival at 1 and 3 years (P<0.001).

Why the study?

Does percutaneous coronary intervention improve short and long term survival in elderly patients (≥70 years) with acute coronary syndrome?

Population

491 elderly patients (aged ≥70 years) admitted with acute coronary syndrome, mean age 83 ± 6 years.

Comparison

Percutaneous coronary intervention (PCI) vs No PCI treatment (medical management)

Design

Cohort

Follow-up

1 and 3 years

Authors

XCXiaojing ChenSBSalim Bary BarywaniRSRúna Sigurjónsdóttir

Discussion

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Overview

May support PCI consideration in elderly ACS; leaves open need for RCTs to confirm before practice change.

Study Design

Type

Cohort (n=491)

Multicenter

No

Structured PICO

Does percutaneous coronary intervention improve short and long term survival in elderly patients (≥70 years) with acute coronary syndrome?

P
Population
491 patients aged ≥70 years with acute coronary syndrome, followed for up to 3 years to assess the impact of percutaneous coronary intervention on survival.
E
Exposure
Percutaneous coronary intervention (PCI)
C
Comparator
No PCI treatment (medical management)
O
Outcome
Short and long term survival (at 1 and 3 years)hard clinical

Main Result

p-value: p=<0.001

In a real-world cohort of elderly patients (≥70 years) with acute coronary syndrome, PCI was associated with significantly improved 1- and 3-year survival compared to non-invasive management.

Cite This Study

Chen et al. (2018) conducted a cohort in Acute coronary syndrome (ACS) (n=491). Percutaneous coronary intervention (PCI) vs. No PCI was evaluated on 1- and 3-year survival (p=<0.001). In elderly patients with acute coronary syndrome, percutaneous coronary intervention was associated with significantly improved survival at 1 and 3 years (P<0.001).

synapsesocial.com/papers/6a20d9946c1dfe058b17febfhttps://doi.org/10.1186/s12877-018-0818-z
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Long-term clinical outcome after percutaneous coronary interventions in the elderly: results for 512 consecutive patients2008 · 3 citations
  2. 2Long-Term Results Of Percutaneous Coronary Intervention In Elderly Patients With Coronary Artery Disease.2024
  3. 3Prognostic Impact of Percutaneous Coronary Intervention in Older Patients Hospitalized with Acute Myocardial Infarction: Real-World Findings from the Lombardy Health Database2023 · 3 citations
  4. 4Percutaneous coronary revascularization in coronary artery disease: Lessons from a single center experience2012 · 2 citations
  5. 5Results of percutaneous coronary interventions in patients ≥90 years of age2007 · 35 citations