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. 2008 Apr;16(4):117-22.
doi: 10.1007/BF03086129.

Outcome and quality of life one year after percutaneous coronary interventions in octogenarians

A Günal  1 , W R M Aengevaeren, H R Gehlmann, J E Luijten, J S Bos, F W A Verheugt
Affiliations

Outcome and quality of life one year after percutaneous coronary interventions in octogenarians

A Günal et al. Neth Heart J. 2008 Apr.

Abstract

Background: While percutaneous coronary intervention (PCI) is increasingly being performed in octogenarians, little is known about the quality of life (QOL) one year after PCI. We assessed the one-year outcome and QOL after PCI.

Methods: Outcome and QOL at one year were assessed in patients of 80 years and older who underwent PCI at our institution. We used the RAND-36 Health Survey to assess health-related QOL at follow-up. The EuroSCORE was used for reference risk assessment.

Results: Ninety-eight patients (mean age 82.7+/-2.9 years; 60% female) underwent PCI. Acute PCI was performed in 36% of the patients. Canadian Cardiovascular Society (CCS) angina class before the procedure was class III for 28% and class IV for 64%. Of the patients, 98% were in the highest-risk group (additive EuroSCORE 6+). The overall PCI success rate was 94%. Mortality at one year was 19% (38% acute vs. 12% elective PCI). At followup, general health was rated as fairly good and better then before PCI (CCS I and II: 77%). RAND-36 scores for the mental component were better than scores for the physical component. Physical functioning (41+/-28) and role limitations caused by physical health problems (32+/-37) had the worst scores. The mental component vitality had the lowest (55+/-20) and mental health the highest (70+/-21) score. Social functioning was in general good (67+/-26).

Conclusion: Octogenarians have a high mortality risk following PCI, especially in acute PCI. In survivors QOL is acceptable with a better mental than physical score. In general, PCI in octogenarians has a positive effect on health perception, with less symptoms of angina pectoris. (Neth Heart J 2008;16:117-22.).

Keywords: mortality; octogenarians; percutaneous coronary interventions; quality of life.

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Figures

Figure 1
Figure 1
Survival curve one year after PCI.
Figure 2
Figure 2
Canadian Cardiovascular Society angina class before and one year after PCI.
Figure 3
Figure 3
Scores on the RAND-36 subdimensions compared with octogenarians in the general population in the Netherlands.
See this image and copyright information in PMC

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