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Percutaneous coronary intervention in the elderly for myocardial infarction in the poststent era

Zuheir Kabbani1, Luis Garcia-Nielsen, Elvi Martinez

  • 1Interventional Cardiology, Hospiten Group, Santa Cruz de Tenerife, Spain.

Critical Pathways in Cardiology
|December 20, 2007
PubMed

Insights

Percutaneous coronary intervention (PCI) is a safe and feasible treatment for elderly patients (≥70 years) experiencing myocardial infarction (MI). This study shows low complication rates for PCI in this high-risk population.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Geriatric Cardiology

Background:

  • Elderly patients (≥70 years) with acute coronary syndrome have increased risk factors and poorer outcomes.
  • Surgical revascularization carries higher mortality in older populations compared to younger individuals.
  • The post-stent era necessitates evaluating percutaneous coronary intervention (PCI) in the elderly.

Purpose of the Study:

  • To assess the feasibility and safety of PCI in elderly patients (≥70 years) with myocardial infarction (MI).
  • To report outcomes from a single center's experience with PCI in this demographic.

Main Methods:

  • Retrospective analysis of 75 consecutive patients aged ≥70 years admitted with MI between January 2005 and November 2006.
  • Evaluation of major and minor adverse events during hospitalization following PCI.

Main Results:

  • The study included 64% male patients, with high prevalence of hypertension (53.3%) and diabetes mellitus (38.7%).
  • ST-segment elevation MI was the presentation in 53.3% of cases; 5.3% presented with cardiogenic shock.
  • PCI was successful in all cases, with 93.4% receiving at least one stent. In-hospital major events occurred in 6.6% (4% death, 2.6% nonfatal MI), and minor complications in 5.2%.

Conclusions:

  • PCI is a feasible and safe revascularization strategy for elderly patients (≥70 years) presenting with MI.
  • The procedure demonstrates low rates of in-hospital complications in this vulnerable patient group.
Abstract

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