８５歳以上の超高齢急性心筋梗塞症に対するｐｒｉｍａｒｙ　ＰＴＣＡの成績

DOI Web Site PubMed 被引用文献2件 参考文献11件

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  • Outcomes of Primary Angioplasty in Patients Aged 85 Years Old and Older who Have Acute Myocardial Infarction.
  • 85サイ イジョウ ノ チョウコウレイ キュウセイ シンキン コウソクショウ ニ タイスル primary PTCA ノ セイセキ

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Outcomes of primary angioplasty in 6 elderly patients with acute myocardial infarction who were admitted to the hospital between July of 1994 and June of 1997 were reviewed retrospectively.<br>Emergency coronary angiography was done in 7 of 16 patients (44%) who were at least 85 years old and primary angioplasty was done in 6 patients (38%). Dilatation was successful in all 6 patients. Congestive heart failure occurred in 4 patients and cardiogenic shock occurred in 1 patient, but no patient died during hospitalization. Blood transfusion and surgical resection were done in 1 patient because of a giant hematoma and pseudoaneurysm at the puncture site. Although the creatinine level increased after angioplasty in all 6 patients, dialysis therapy was not needed. All patients were alive and none had angina at follow-up (mean follow-up period=16.5 months). Primary angioplasty was successful in patients at least 85 years old; both short-term and long-term outcomes were good. Primary angioplasty should be considered to be an effective treatment for acute myocardial infarction in people 85 years old and older.

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