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[Coronary revascularization in the geriatric patient]
J Cerda Rojas1, M Pérez de Juan Romero, E Tamayo Ortíz
1Instituto Nacional de Cardiología Ignacio Chávez, Servicio de Cardiología.
Archivos Del Instituto De Cardiologia De Mexico
|May 1, 1987
Summary
Coronary revascularization surgery is a viable option for elderly patients with coronary heart disease. This study shows that advanced age is not a contraindication for surgical intervention, with acceptable outcomes.
Area of Science:
- Cardiology
- Cardiac Surgery
- Geriatric Medicine
Context:
- Coronary heart disease (CHD) poses significant risks in the elderly population.
- Evaluating surgical interventions for CHD in older adults is crucial.
- This study assesses coronary revascularization outcomes in patients aged 65 and above.
Purpose:
- To determine the current status and outcomes of coronary revascularization in elderly patients.
- To evaluate the safety and efficacy of surgical CHD treatment in individuals over 65.
- To analyze perioperative mortality and long-term survival rates in this demographic.
Summary:
- A study of 102 patients (mean age 68) undergoing coronary revascularization revealed significant CHD in 55% with three-vessel disease and 11.7% with left main coronary artery involvement.
- Patients received an average of 2.1 bypasses, with a perioperative mortality of 10.7%.
- At 6-year follow-up, actuarial survival was 80%, and angina pectoris relapse was 24%, indicating positive long-term results.
Impact:
- Findings suggest that advanced age (65-77 years) should not preclude patients from undergoing coronary revascularization surgery.
- The study provides evidence supporting the consideration of surgical CHD treatment for elderly individuals.
- This research contributes to optimizing treatment strategies for geriatric cardiovascular patients.