Reperfusion therapy for acute myocardial infarction in elderly patients

DOI Web Site Web Site 2 Citations 12 References
  • Takata Jun
    Section of Cardiology, Department of Medicine and Geriatrics, Kochi Medical School
  • Nishinaga Masanori
    Section of Cardiology, Department of Medicine and Geriatrics, Kochi Medical School
  • Doi Yoshinori
    Section of Cardiology, Department of Medicine and Geriatrics, Kochi Medical School

Bibliographic Information

Other Title
  • 高齢者急性心筋梗塞の治療
  • コウレイシャ キュウセイ シンキン コウソク ノ チリョウ

Search this article

Abstract

Although there has been great progress in reperfusion therapy, the role of coronary reperfusion for elderly patients with acute myocardial infarction has not been fully investigated. In general, mean age of the subjects in major trials was about 60 years old and approximately only 10 to 15% of patients were over age 75. On the other hand, large-scale registries such as the US national registry of myocardial infarction (NRMI) showed a higher prevalence of elderly (especially women) in the clinical setting. This discrepancy may be due to the fact that elderly patients with myocardial infarction have some difficulties in the treatment such as severe multi-vessel coronary lesions, non-cardiac complications and relatively high prevalence of adverse reactions to reperfusion therapy.<br>Here we focus on the situation of elderly patients (especially those 75 years or older) with myocardial infarction in the “real world” clinical setting, showing the clinical changes and outcome of our registry in rural Japan: the Kochi AMI (KAMI) registry.

Journal

Citations (2)*help

See more

References(12)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top