https://scholars.lib.ntu.edu.tw/handle/123456789/524188
標題: | Outcome of primary percutaneous coronary intervention in Octogenarians with acute myocardial infarction | 作者: | YI-CHIH WANG HWANG, JUEY-JEN CHI-SHENG HUNG HSIEN-LI KAO FU-TIEN CHIANG Tseng C.-D. |
公開日期: | 2006 | 出版社: | Scientific Communications International Ltd | 卷: | 105 | 期: | 6 | 起(迄)頁: | 451-458 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Background/Purpose: Acute myocardial infarction (AMI) results in more complications and increased mortality in octogenarians compared to patients in younger age groups. This study investigated the short- and long-term outcomes in octogenarians after primary percutaneous coronary intervention (PCI). Methods: During the study period from May 1997 to August 2004, 54 patients ? 80 years old with ST-elevation myocardial infarction (STEMI) were eligible for primary PCI. Data collected included baseline clinical characteristics and usage of cardiovascular medications. Diagnostic coronary angiography and revascularization procedures were performed using standard practices. During hospitalization, the clinical course including serial changes in cardiac enzymes, adverse events associated with myocardial infarction or treatment, and inhospital or long-term mortality of patients were recorded. Results: The mean age of the 54 patients (35 men, 19 women) was 82.8 ± 2.5 years (range, 80-89 years). Among them, 27 (50%) had anterior infarction, six (11%) had anterolateral infarction, and 21 (39%) had inferior infarction, inclusive of three patients with accompanying right ventricular infarction. Among them, 20 (37%) patients were in Killip class I, nine (17%) were in class II, two (4%) in class III, and 23 (43%) in class IV. The mean delay from onset of symptoms to arrival in hospital was 220 ± 167 minutes, and 189 ± 169 minutes from hospital arrival to reperfusion. Diagnostic coronary angiography revealed that 48 (89%) patients had multivessel disease. Inhospital death occurred in 23 (43%) patients, with the leading causes of death being profound cardiogenic shock (61%), and free wall rupture (26%). Conclusion: Octogenarian patients who developed STEMI tended to have multivessel disease. These patients had a high in hospital mortality rate that was most likely to be due to cardiogenic shock. ?2006 Elsevier & Formosan Medical Association. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-33745595306&doi=10.1016%2fS0929-6646%2809%2960184-4&partnerID=40&md5=ad142db04a373146eb2ee591d4ac9422 https://scholars.lib.ntu.edu.tw/handle/123456789/524188 |
ISSN: | 0929-6646 | DOI: | 10.1016/S0929-6646(09)60184-4 | SDG/關鍵字: | acetylsalicylic acid; antiarrhythmic agent; antilipemic agent; beta adrenergic receptor blocking agent; calcium channel blocking agent; clopidogrel; digitalis; dipeptidyl carboxypeptidase inhibitor; diuretic agent; heparin; nitric acid derivative; ticlopidine; acute heart infarction; aged; angiocardiography; article; cardiogenic shock; cause of death; controlled study; coronary artery recanalization; disease classification; disease course; drug dose regimen; female; geriatric care; hospital patient; hospitalization; human; Kaplan Meier method; major clinical study; male; mortality; outcomes research; pathological anatomy; percutaneous coronary intervention; prognosis; ST segment elevation |
顯示於: | 醫學系 |
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