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Myocardial Infarction and Functional Outcome Assessment in Pigs
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Myocardial infarction in patients over 90 years of age

Josef Yayan1

  • 1Department of Internal Medicine, Vinzentius-Hospital, Cornichonstraße 4, Landau, Germany. josef.yayan@hotmail.com

Clinical Interventions in Aging
|March 17, 2012
PubMed

Insights

This study found no increase in heart attacks or cardiac catheterizations among very elderly patients (over 90) compared to younger elderly patients (70-79). Life expectancy trends did not correlate with these cardiac events in the studied population.

Area of Science:

  • Cardiology
  • Geriatric Medicine
  • Public Health

Background:

  • Investigating the relationship between increasing life expectancy and cardiac events like heart attack.
  • Examining trends in cardiac catheterization procedures in relation to aging populations.

Purpose of the Study:

  • To analyze trends in heart attack incidence and cardiac catheterization utilization among very elderly patients (over 90) compared to younger elderly patients (70-79).
  • To determine if increasing life expectancy correlates with a rise in myocardial infarction and acute coronary syndrome requiring coronary angiography in these age groups.

Main Methods:

  • Retrospective study design comparing two groups: very elderly (over 90 years) and elderly (70-79 years).
  • Analysis of patients diagnosed with myocardial infarction and acute coronary syndrome who underwent coronary angiography.
  • Data collected from Vinzentius-Hospital, Landau, Germany, between 2007 and 2011.

Main Results:

  • A total of 1100 cardiac catheterizations were performed during the study period.
  • Coronary angiographies in patients over 90 years numbered 36, while those aged 70-79 years were 354.
  • No observed increase in evidence-based therapy for coronary heart disease via cardiac catheterization in the very elderly group.

Conclusions:

  • The study did not find an increase in the number of patients over 90 years undergoing cardiac catheterization for heart attacks.
  • A rise in heart attacks evaluated by coronary angiography in the very elderly population was not identified.
  • No correlation was found between increasing life expectancy and the incidence of heart attacks or cardiac catheterization in patients over 90.
Abstract

Keywords:
angiographyelderly patientsevidence-based therapymyocardial infarction

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