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Related Experiment Videos

[Coronary angiography in octogenarians].

Anders Hovland1, Kari Jønland, Rune Wiseth

  • 1Medisinski avdeling Nordlandsskehuset, Bodø. anders.hovland@nordlandssykehuset.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|June 25, 2003
PubMed
Summary

Coronary angiography is safe for patients over 80, with a low complication rate of 5.4%. Many elderly patients receive invasive treatments like PCI or CABG after the procedure.

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Area of Science:

  • Cardiology
  • Geriatric Medicine
  • Interventional Cardiology

Background:

  • Heart disease prevalence increases with age.
  • The safety and outcomes of aggressive cardiac interventions in the elderly require elucidation.

Purpose of the Study:

  • To evaluate the safety and clinical outcomes of coronary angiography in patients aged 80 and above.
  • To determine the rate of complications and subsequent invasive treatment recommendations in this elderly cohort.

Main Methods:

  • Retrospective study analyzing records of 277 patients aged 80+ who underwent coronary angiography.
  • Systematic screening of patient records for complications and clinical consequences.

Main Results:

  • Coronary angiography was performed primarily for coronary artery disease (CAD) and aortic stenosis (97%).
  • Low mortality (0.4%) and a total complication rate of 5.4% (3.6% severe, 1.8% minor) were observed.
  • 65% of patients were referred for invasive treatments, including percutaneous coronary intervention (PCI), coronary artery bypass grafting (CABG), and aortic valve replacement.

Conclusions:

  • Coronary angiography is a safe diagnostic procedure for patients over 80.
  • Elderly patients undergoing coronary angiography are frequently considered for and offered invasive cardiac treatments.

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