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Review
. 2014 Jul 31:9:1241-6.
doi: 10.2147/CIA.S62642. eCollection 2014.

Percutaneous coronary intervention in the elderly with ST-segment elevation myocardial infarction

Lei Gao  1 , Xin Hu  1 , Yu-Qi Liu  1 , Qiao Xue  1 , Quan-Zhou Feng  1
Affiliations
Review

Percutaneous coronary intervention in the elderly with ST-segment elevation myocardial infarction

Lei Gao et al. Clin Interv Aging. .

Abstract

As a result of increased life expectancy, octogenarians constitute an increasing proportion of patients admitted to hospital for ST-segment elevation myocardial infarction (STEMI). Primary percutaneous coronary intervention is currently the treatment of choice for octogenarians presenting with STEMI. The recent literature on this topic has yielded controversial results, even though advances in drug-eluting stents and new types of antithrombotic agents are improving the management of STEMI and postoperative care. In this paper, we review the current status of percutaneous coronary intervention in the elderly with STEMI, including the reasons for their high mortality and morbidity, predictors of mortality, and strategies to improve outcomes.

Keywords: ST-segment elevation myocardial infarction; octogenarians; percutaneous coronary intervention.

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References

    1. Centers for Disease Control and Prevention MMWR series on public health and aging. MMWR Morb Mortal Wkly Rep. 2003;52(6):101–116. - PubMed
    1. Singh M, Mathew V, Garratt KN, et al. Effect of age on the outcome of angioplasty for acute myocardial infarction among patients treated at the Mayo Clinic. Am J Med. 2000;108(3):187–192. - PubMed
    1. Newell MC, Henry JT, Henry TD, et al. Impact of age on treatment and outcomes in ST-elevation myocardial infarction. Am Heart J. 2011;161(4):664–672. - PubMed
    1. Yang X, Zhao Y, Wu H, et al. The coexistence of comorbidities at admission is an independent predictor of 30-day mortality of patients hospitalized with acute myocardial infarction: analysis of 5523 cases in China. Int J Cardiol. 2012;155(3):451–452. - PubMed
    1. Alexander KP, Newby LK, Armstrong PW, et al. Acute coronary care in the elderly, part II: ST-segment-elevation myocardial infarction: a scientific statement for healthcare professionals from the American Heart Association Council on Clinical Cardiology: in collaboration with the Society of Geriatric Cardiology. Circulation. 2007;115(19):2570–2589. - PubMed

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