Outcomes of Primary Angioplasty in Patients Aged 85 Years Old and Older who Have Acute Myocardial Infarction.

Arai Satoshi, Awaya Toru, Aono Jiro, Miyake Fumihiko, Murayama Masahiro

doi:10.3143/geriatrics.35.898

Bibliographic Information

Other Title

８５歳以上の超高齢急性心筋梗塞症に対するｐｒｉｍａｒｙ　ＰＴＣＡの成績
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

Search this article

Description

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.

Journal

Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics

Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics 35 (12), 898-904, 1998

The Japan Geriatrics Society

Keywords

Details 詳細情報について

Export