Infarto agudo al miocardio en pacientes de 80 y más años. Evolución hospitalaria y seguimiento

Background: Subjects older than 80 years have more complicated acute myocardial infarctions and are subjected to less reperfusion procedures. Aim: To describe the hospital evolution and follow up of patients older than 80 years, suffering an acute myocardial infarction. Material and methods: Patient...

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Autores principales:	Ugalde,Héctor, Espinosa,Pilar, Pizarro,Gonzalo, Dreyse,Ximena
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2008
Materias:	Aged, 80 and older Myocardial infarction Reperfusion
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000600002
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spelling	oai:scielo:S0034-988720080006000022008-08-27Infarto agudo al miocardio en pacientes de 80 y más años. Evolución hospitalaria y seguimientoUgalde,HéctorEspinosa,PilarPizarro,GonzaloDreyse,Ximena Aged, 80 and older Myocardial infarction Reperfusion Background: Subjects older than 80 years have more complicated acute myocardial infarctions and are subjected to less reperfusion procedures. Aim: To describe the hospital evolution and follow up of patients older than 80 years, suffering an acute myocardial infarction. Material and methods: Patients older than 80 years, were selected from a prospective registry of acute myocardial infarction. Among these, the hospital evolution, mortality and events during a períod ofñve years of follow up, were recorded. Results: Of a total of 1200 patients, 83 (7%) were aged 80 years or older. Among these, 59% were male and 22% were diabetic. The mean lapse between onset of symptoms and admission was 11 hours and 59% were admitted with less than 6 hours of evolution. Sixty three percent had a history of a previous infarction and 24% had a Killip IV classification on admission. Reperfusion therapy was done in 19% and 70% had heart failure during evolution. A coronary angiography was done in 22% and 6% were subjected to revascularization. Mortality was 34%, specially due to cardiogenic shock or ventricular rupture. Of 55 patients discharged from the hospital, 31% died within one year and 64% within five years, mainly due to cardiac causes. Conclusions: Patients aged 80 years or older have more complicated myocardial infarctions, most of them are managed conservatively andlong term mortality is highinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.136 n.6 20082008-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000600002es10.4067/S0034-98872008000600002
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Aged, 80 and older Myocardial infarction Reperfusion
spellingShingle	Aged, 80 and older Myocardial infarction Reperfusion Ugalde,Héctor Espinosa,Pilar Pizarro,Gonzalo Dreyse,Ximena Infarto agudo al miocardio en pacientes de 80 y más años. Evolución hospitalaria y seguimiento
description	Background: Subjects older than 80 years have more complicated acute myocardial infarctions and are subjected to less reperfusion procedures. Aim: To describe the hospital evolution and follow up of patients older than 80 years, suffering an acute myocardial infarction. Material and methods: Patients older than 80 years, were selected from a prospective registry of acute myocardial infarction. Among these, the hospital evolution, mortality and events during a períod ofñve years of follow up, were recorded. Results: Of a total of 1200 patients, 83 (7%) were aged 80 years or older. Among these, 59% were male and 22% were diabetic. The mean lapse between onset of symptoms and admission was 11 hours and 59% were admitted with less than 6 hours of evolution. Sixty three percent had a history of a previous infarction and 24% had a Killip IV classification on admission. Reperfusion therapy was done in 19% and 70% had heart failure during evolution. A coronary angiography was done in 22% and 6% were subjected to revascularization. Mortality was 34%, specially due to cardiogenic shock or ventricular rupture. Of 55 patients discharged from the hospital, 31% died within one year and 64% within five years, mainly due to cardiac causes. Conclusions: Patients aged 80 years or older have more complicated myocardial infarctions, most of them are managed conservatively andlong term mortality is high
author	Ugalde,Héctor Espinosa,Pilar Pizarro,Gonzalo Dreyse,Ximena
author_facet	Ugalde,Héctor Espinosa,Pilar Pizarro,Gonzalo Dreyse,Ximena
author_sort	Ugalde,Héctor
title	Infarto agudo al miocardio en pacientes de 80 y más años. Evolución hospitalaria y seguimiento
title_short	Infarto agudo al miocardio en pacientes de 80 y más años. Evolución hospitalaria y seguimiento
title_full	Infarto agudo al miocardio en pacientes de 80 y más años. Evolución hospitalaria y seguimiento
title_fullStr	Infarto agudo al miocardio en pacientes de 80 y más años. Evolución hospitalaria y seguimiento
title_full_unstemmed	Infarto agudo al miocardio en pacientes de 80 y más años. Evolución hospitalaria y seguimiento
title_sort	infarto agudo al miocardio en pacientes de 80 y más años. evolución hospitalaria y seguimiento
publisher	Sociedad Médica de Santiago
publishDate	2008
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000600002
work_keys_str_mv	AT ugaldehector infartoagudoalmiocardioenpacientesde80ymasanosevolucionhospitalariayseguimiento AT espinosapilar infartoagudoalmiocardioenpacientesde80ymasanosevolucionhospitalariayseguimiento AT pizarrogonzalo infartoagudoalmiocardioenpacientesde80ymasanosevolucionhospitalariayseguimiento AT dreyseximena infartoagudoalmiocardioenpacientesde80ymasanosevolucionhospitalariayseguimiento
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Infarto agudo al miocardio en pacientes de 80 y más años. Evolución hospitalaria y seguimiento

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