Procedural Outcomes Of Primary Percutaneous Coronary Intervention In Elderly Patients With Stemi

Area of Science:

• Cardiology
• Interventional Cardiology
• Geriatric Cardiology

Background:

• Cardiovascular disease (CVD) is a leading global cause of death, with coronary artery disease (CAD) being the most common form.
• Advanced age is a significant risk factor for cardiovascular mortality and complications after acute myocardial infarction, such as ST-elevation myocardial infarction (STEMI).
• Treatment strategies, particularly reperfusion therapies like primary percutaneous coronary intervention (PCI) for STEMI in the elderly, require further investigation due to limited trial data in this demographic.

Purpose of the Study:

• To evaluate the effectiveness and outcomes of primary PCI in an elderly population presenting with STEMI.
• To provide local data on the efficacy of primary PCI in older adults with acute myocardial infarction.
• To inform clinical decision-making regarding reperfusion strategies for elderly STEMI patients.

Main Methods:

• A descriptive cross-sectional study was conducted over six months.
• 105 adult patients diagnosed with STEMI were included in the study.
• Data analysis was performed using SPSS version 19.0.

Main Results:

• A total of 105 elderly patients with STEMI were included.
• The study demonstrated a high success rate, with 97.1% (102 patients) achieving TIMI II blood flow post-primary PCI.
• This indicates successful restoration of blood flow in the majority of treated patients.

Conclusions:

• Primary PCI is a favorable treatment option for elderly patients experiencing STEMI.
• The findings support the recommendation that primary PCI should be offered to all elderly individuals presenting with STEMI to hospitals with adequate resources and expertise.
• This approach can lead to improved outcomes in this vulnerable patient group.