Open AccessPercutaneous Coronary Interventions in Nonagenarians: In‐Hospital Mortality and Outcome at One Year Follow‐up
Author(s) -
Parikh Rupen,
Chennareddy Srinivas,
DeBari Vincent,
Hamdan Aiman,
Konlian Donna,
Shamoon Fayez,
Bikkina Mahesh
Publication year - 2009
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.20596
Subject(s) - medicine , psychological intervention , percutaneous , percutaneous coronary intervention , outcome (game theory) , emergency medicine , cardiology , myocardial infarction , nursing , mathematics , mathematical economics
Abstract Background Limited information is available regarding outcome of very elderly patients referred for percutaneous coronary intervention (PCI). Purpose This study aimed to assess acute and intermediate term clinical outcomes among nonagenarians. Methods The study included 32 consecutive nonagenarian patients undergoing PCI between January 2001 to August 2006. There were 6 (19%) patients admitted with acute ST‐segment elevation myocardial infarction (STEMI), 10 (31%) patients with non‐STEMI, and 16 (50%) patients with unstable angina pectoris. Receiver‐operator characteristic curve (ROC) analysis was done to define the relationship between heart rate, blood pressure, left ventricle ejection fraction, serum creatinine level, and mortality. Results Results: Immediate procedure success was achieved in 28 (88%) patients. Cumulative mortality at hospital discharge was 3(9%), at 6 months it was 6 (19%) and remained 6(19%) at 1 year follow‐up. Conclusion Hypotension and low ejection fraction correlated with in‐hospital mortality and worst clinical outcome. Procedural success does not appear to decline in nonagenarians. Copyright © 2009 Wiley Periodicals, Inc.