Usefulness of primary angioplasty in nonagenarians with acute myocardial infarction

Gian Battista Danzi; Marco Centola; Guido A. Pomidossi; Dario Consonni; Sara De Matteis; Amerigo Stabile; Marco Sesana; Angelo Anzuini; Paolo Sganzerla; Bernardo Cortese; Angela Migliorini; David Antoniucci

doi:10.1016/j.amjcard.2010.04.041

Usefulness of primary angioplasty in nonagenarians with acute myocardial infarction

Gian Battista Danzi, Marco Centola, Guido A. Pomidossi, Dario Consonni, Sara De Matteis, Amerigo Stabile, Marco Sesana, Angelo Anzuini, Paolo Sganzerla, Bernardo Cortese, Angela Migliorini, David Antoniucci

Fondazione IRCCS Ca' Granda- Ospedale Maggiore Policlinico

Research output: Contribution to journal › Article › peer-review

Abstract

The optimal reperfusion strategy in very elderly patients with ST-segment elevation myocardial infarction is still a subject of debate. The aim of this multicenter study was to determine the medium-term outcomes of nonagenarians after primary percutaneous intervention for ST-segment elevation myocardial infarction. A systematic review of the databases of 7 Italian centers showed that these had performed 5,023 primary angioplasties over the previous 5 years, 100 of which (2%) involved patients ≥90 years old. Thirty-five subjects were in Killip class III or IV at time of presentation, 78 had multivessel coronary artery disease, and mean ejection fraction was 0.40 ± 0.12%. In-hospital mortality was 19% and was significantly higher in patients with shock (58% vs 10%, p

Original language	English
Pages (from-to)	770-773
Number of pages	4
Journal	The American Journal of Cardiology
Volume	106
Issue number	6
DOIs	https://doi.org/10.1016/j.amjcard.2010.04.041
Publication status	Published - Sept 15 2010

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Medicine(all)

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10.1016/j.amjcard.2010.04.041

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abstract = "The optimal reperfusion strategy in very elderly patients with ST-segment elevation myocardial infarction is still a subject of debate. The aim of this multicenter study was to determine the medium-term outcomes of nonagenarians after primary percutaneous intervention for ST-segment elevation myocardial infarction. A systematic review of the databases of 7 Italian centers showed that these had performed 5,023 primary angioplasties over the previous 5 years, 100 of which (2%) involved patients ≥90 years old. Thirty-five subjects were in Killip class III or IV at time of presentation, 78 had multivessel coronary artery disease, and mean ejection fraction was 0.40 ± 0.12%. In-hospital mortality was 19% and was significantly higher in patients with shock (58% vs 10%, p ",

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AU - Danzi, Gian Battista

AU - Centola, Marco

AU - Pomidossi, Guido A.

AU - Consonni, Dario

AU - De Matteis, Sara

AU - Stabile, Amerigo

AU - Sesana, Marco

AU - Anzuini, Angelo

AU - Sganzerla, Paolo

AU - Cortese, Bernardo

AU - Migliorini, Angela

AU - Antoniucci, David

PY - 2010/9/15

Y1 - 2010/9/15

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AB - The optimal reperfusion strategy in very elderly patients with ST-segment elevation myocardial infarction is still a subject of debate. The aim of this multicenter study was to determine the medium-term outcomes of nonagenarians after primary percutaneous intervention for ST-segment elevation myocardial infarction. A systematic review of the databases of 7 Italian centers showed that these had performed 5,023 primary angioplasties over the previous 5 years, 100 of which (2%) involved patients ≥90 years old. Thirty-five subjects were in Killip class III or IV at time of presentation, 78 had multivessel coronary artery disease, and mean ejection fraction was 0.40 ± 0.12%. In-hospital mortality was 19% and was significantly higher in patients with shock (58% vs 10%, p

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Usefulness of primary angioplasty in nonagenarians with acute myocardial infarction

Abstract

ASJC Scopus subject areas

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