Why the study?
Does primary PTCA improve survival compared to thrombolysis in elderly patients with acute myocardial infarction?
Population
20,683 elderly Medicare beneficiaries with acute myocardial infarction arriving within 12 hours of symptom…
Comparison
Primary percutaneous transluminal coronary… vs Thrombolysis within 6 hours of hospital arrival.
Design
Cohort
Follow-up
1 year
Authors
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Supports primary PTCA preference in elderly AMI; leaves open causal confirmation in RCTs.
Does primary PTCA improve survival compared to thrombolysis in elderly patients with acute myocardial infarction?
In elderly patients with acute myocardial infarction, primary PTCA is associated with modestly lower short- and long-term mortality compared to thrombolysis, though the benefit may be attenuated in ideal reperfusion candidates.
Alan K. Berger (1999) studied this question.
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