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January 1, 2005Sunhwan'gi

Long-Term Clinical Outcomes after Primary Percutaneous Coronary Intervention in Patients with Acute Myocardial Infarction Older than 75 Years

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Key result

Primary percutaneous coronary intervention in acute myocardial infarction patients aged ≥75 years showed comparable one-year major adverse cardiac events to those <75 years (31.4% vs 36.9%, p=NS).

Why the study?

Does primary PCI for acute myocardial infarction in patients older than 75 years yield comparable clinical outcomes to younger patients?

Population

223 patients who underwent primary percutaneous coronary intervention for acute myocardial infarction at…

Comparison

Primary percutaneous coronary intervention in… vs Primary percutaneous coronary intervention in…

Design

Cohort

Follow-up

1 year

Authors

SLSang Yup LimMJMyung Ho JeongBYBo Yang

Discussion

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Member takes

Overview

Supports primary PCI feasibility in elderly AMI; leaves open need for randomized confirmation of outcomes.

Study Design

Type

Cohort (n=223)

Multicenter

No

Structured PICO

Does primary PCI for acute myocardial infarction in patients older than 75 years yield comparable clinical outcomes to younger patients?

P
Population
223 patients who underwent primary percutaneous coronary intervention for acute myocardial infarction, stratified by age (≥75 vs <75 years) and followed for one year.
E
Exposure
Primary percutaneous coronary intervention (PCI) in patients aged ≥75 years
C
Comparator
Primary percutaneous coronary intervention (PCI) in patients aged <75 years
O
Outcome
In-hospital mortality and major adverse cardiac events during one-year clinical follow-uphard clinical

Main Result

Absolute Event Rate: 31.4% vs 36.9%

p-value: p=NS

Primary PCI in AMI patients older than 75 years can be performed with procedural success rates and long-term clinical outcomes comparable to those of younger patients.

Cite This Study

Lim et al. (2005) conducted a cohort in Acute Myocardial Infarction (n=223). Age ≥75 years vs. Age <75 years was evaluated on Major adverse cardiac events (p=NS). Primary percutaneous coronary intervention in acute myocardial infarction patients aged ≥75 years showed comparable one-year major adverse cardiac events to those <75 years (31.4% vs 36.9%, p=NS).

synapsesocial.com/papers/6a9c3661bf484de2d362491dhttps://doi.org/10.4070/kcj.2005.35.8.613
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Also Consider

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

  1. 1Predictive Factors of Major Adverse Cardiac Events in Acute Myocardial Infarction Patients Complicated by Cardiogenic Shock Undergoing Primary Percutaneous Coronary Intervention2005 · 25 citations
  2. 2Long-Term Benefit of Primary Angioplasty as Compared with Thrombolytic Therapy for Acute Myocardial Infarction1999 · 722 citations
  3. 3Early outcome and Restenosis rate after Coronary Artery Stenting in the Elderly2001 · 4 citations
  4. 4Clinical Characteristics of Coronary Interventions in Old Aged Patients1998 · 7 citations
  5. 5A Comparison of Coronary Angioplasty with Fibrinolytic Therapy in Acute Myocardial Infarction2003 · 1,325 citations