高齢者急性心筋梗塞に対する血栓溶解療法の有用性と問題点

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タイトル別名
  • A Study of the Efficacy of Thrombolytic Therapy for Acute Myocardial Infarction in Elderly Patients.
  • コウレイシャ キュウセイ シンキン コウソク ニ タイスル ケッセン ヨウカイ

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We compared the short and long term outcome between an elderly group (E; aged 70 year more, 17 cases) and a younger group (Y; less than 70 years, 95 cases). Reperfusion rates were similar in both groups (E; 70.6% vs Y; 67.3%). Reocclusion rates at predischarge CAG were similar in both groups (E; 70.6% vs Y; 67.3%). Reocclusion rates at predischarge CAG were similar in both groups (E; 7.2% vs Y; 6.8%). Hospital cardiac deaths in E were higher than Y (E; 5.9% vs Y; 4.2%). Intestinal bleeding in E was more frequent than in Y (E; 5.9% vs Y; 3.2%). We concluded that thrombolytic therapy for acute myocardial infarction in elderly patients was useful, however bleeding complication in elderly patients were higher than in younger patients.

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