Long-term results of a primary angioplasty program in patients over 80 years of age

ABSTRACT Introduction and objectives: There is scarce information available on the long-term outcomes of primary angioplasty (PA) in patients over 80 years of age. Our objective was to analyze the characteristics and results of PA in these patients and recognize the prognostic factors and long-term...

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Autores principales:	Lorenzo Hernando Marrupe, Cecilia Marco Quirós, Rafael Gayoso Gayo, Victoria Espejo Bares, Verónica Artiaga De La Barrera, Carla Jiménez Martínez, Roberto Del Castillo Medina, Alberto Núñez García, Elia Pérez Fernández, Javier Botas Rodríguez
Formato:	article
Lenguaje:	EN ES
Publicado:	Permanyer 2021
Materias:	Elderly Myocardial infarction Primary angioplasty Medicine R
Acceso en línea:	https://doaj.org/article/80f15f6306374cc4b352214c41ae1d5e
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spelling	oai:doaj.org-article:80f15f6306374cc4b352214c41ae1d5e2021-11-16T10:22:10ZLong-term results of a primary angioplasty program in patients over 80 years of age10.24875/RECICE.M210002142604-7322https://doaj.org/article/80f15f6306374cc4b352214c41ae1d5e2021-11-01T00:00:00Zhttps://recintervcardiol.org/en/index.php?option=com_content&view=article&id=670https://doaj.org/toc/2604-7322ABSTRACT Introduction and objectives: There is scarce information available on the long-term outcomes of primary angioplasty (PA) in patients over 80 years of age. Our objective was to analyze the characteristics and results of PA in these patients and recognize the prognostic factors and long-term survival. Methods: Observational and retrospective single-center study of consecutive patients over 80 years of age treated with PA between January 2013 and September 2019. A long-term clinical follow-up was performed (mean follow-up of 29 ± 25 months). Results: The study included 133 patients (mean age 85.3 ± 3.8 years and 57 women [43%]). Seventeen percent of the patients were in Killip class III-IV at admission. The mean Charlson Comorbidity index was 2.3 ± 1.6. During the hospitalization, almost half of the patients developed heart failure and mortality rate was 18%. The overall mortality rate at the follow-up was 23%, yet 97.2% of the deaths were due to non-cardiac causes. The independent predictors of overall mortality at the follow-up were chronic kidney disease (HR, 5.7; 95%CI, 1.29-25.5; P = .022), and a Charlson Comorbidity index > 2 (HR, 2.57; 95%CI, 1.07-6.18; P = .035). Conclusions: Patients over 80 years of age treated with PA have high in-hospital and long-term mortality...Lorenzo Hernando MarrupeCecilia Marco QuirósRafael Gayoso GayoVictoria Espejo BaresVerónica Artiaga De La BarreraCarla Jiménez MartínezRoberto Del Castillo MedinaAlberto Núñez GarcíaElia Pérez FernándezJavier Botas RodríguezPermanyerarticleElderly Myocardial infarction Primary angioplastyMedicineRENESREC: Interventional Cardiology (English Ed.), Vol 3, Iss 4, Pp 267-273 (2021)
institution	DOAJ
collection	DOAJ
language	EN ES
topic	Elderly Myocardial infarction Primary angioplasty Medicine R
spellingShingle	Elderly Myocardial infarction Primary angioplasty Medicine R Lorenzo Hernando Marrupe Cecilia Marco Quirós Rafael Gayoso Gayo Victoria Espejo Bares Verónica Artiaga De La Barrera Carla Jiménez Martínez Roberto Del Castillo Medina Alberto Núñez García Elia Pérez Fernández Javier Botas Rodríguez Long-term results of a primary angioplasty program in patients over 80 years of age
description	ABSTRACT Introduction and objectives: There is scarce information available on the long-term outcomes of primary angioplasty (PA) in patients over 80 years of age. Our objective was to analyze the characteristics and results of PA in these patients and recognize the prognostic factors and long-term survival. Methods: Observational and retrospective single-center study of consecutive patients over 80 years of age treated with PA between January 2013 and September 2019. A long-term clinical follow-up was performed (mean follow-up of 29 ± 25 months). Results: The study included 133 patients (mean age 85.3 ± 3.8 years and 57 women [43%]). Seventeen percent of the patients were in Killip class III-IV at admission. The mean Charlson Comorbidity index was 2.3 ± 1.6. During the hospitalization, almost half of the patients developed heart failure and mortality rate was 18%. The overall mortality rate at the follow-up was 23%, yet 97.2% of the deaths were due to non-cardiac causes. The independent predictors of overall mortality at the follow-up were chronic kidney disease (HR, 5.7; 95%CI, 1.29-25.5; P = .022), and a Charlson Comorbidity index > 2 (HR, 2.57; 95%CI, 1.07-6.18; P = .035). Conclusions: Patients over 80 years of age treated with PA have high in-hospital and long-term mortality...
format	article
author	Lorenzo Hernando Marrupe Cecilia Marco Quirós Rafael Gayoso Gayo Victoria Espejo Bares Verónica Artiaga De La Barrera Carla Jiménez Martínez Roberto Del Castillo Medina Alberto Núñez García Elia Pérez Fernández Javier Botas Rodríguez
author_facet	Lorenzo Hernando Marrupe Cecilia Marco Quirós Rafael Gayoso Gayo Victoria Espejo Bares Verónica Artiaga De La Barrera Carla Jiménez Martínez Roberto Del Castillo Medina Alberto Núñez García Elia Pérez Fernández Javier Botas Rodríguez
author_sort	Lorenzo Hernando Marrupe
title	Long-term results of a primary angioplasty program in patients over 80 years of age
title_short	Long-term results of a primary angioplasty program in patients over 80 years of age
title_full	Long-term results of a primary angioplasty program in patients over 80 years of age
title_fullStr	Long-term results of a primary angioplasty program in patients over 80 years of age
title_full_unstemmed	Long-term results of a primary angioplasty program in patients over 80 years of age
title_sort	long-term results of a primary angioplasty program in patients over 80 years of age
publisher	Permanyer
publishDate	2021
url	https://doaj.org/article/80f15f6306374cc4b352214c41ae1d5e
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Long-term results of a primary angioplasty program in patients over 80 years of age

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