Benefit of primary percutaneous coronary interventions in the elderly with ST segment elevation myocardial infarction.

OBJECTIVE: Primary percutaneous coronary intervention (P-PCI) has demonstrated its efficacy in patients with ST segment elevation myocardial infarction (STEMI). However, patients with STEMI =75 years receive less P-PCI than younger patients despite their higher in-hospital morbimortality. The object...

Descripción completa

Detalles Bibliográficos
Autores: Fernandez-Berges, Daniel, Degano, Irene R, Gonzalez Fernandez, Reyes, Subirana, Isaac, Vila, Joan, Jimenez-Navarro, Manuel, Perez-Fernandez, Silvia, Roque, Merce, Bayes-Genis, Antoni, Fernandez-Aviles, Francisco, Mayorga, Antonio, Bertomeu-Gonzalez, Vicente, Sanchis, Juan, Rodriguez Esteban, Marcos, Sanchez-Hidalgo, Antonio, Sanchez-Insa, Esther, Elorriaga, Ane, Abu Assi, Emad, Nunez, Alberto, Garcia Ruiz, Jose Manuel, Morrondo Valdeolmillos, Pedro, Bosch-Portell, Daniel, Lekuona, Inaki, Carrillo-Lopez, Andres, Zamora, Alberto, Vega-Hernandez, Berta, Alameda Serrano, Javier, Rubert, Catalina, Ruiz-Valdepenas, Luis, Quintas, Laura, Rodriguez-Padial, Luis, Vaquero, Jessica, Martinez Dolz, Luis, Barrabes, Jose A, Sanchez, Pedro L, Sionis, Alessandro, Marti-Almor, Julio, Elosua, Roberto, Lidon, Rosa-Maria, Garcia-Dorado, David, Marrugat, Jaume, ATHOS investigators
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:España
Institución:INCLIVA
Repositorio:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
OAI Identifier:oai:incliva.fundanetsuite.com:p4720
Acceso en línea:https://incliva.portalinvestigacion.com/publicaciones/4720
Access Level:acceso abierto
Palabra clave:coronary intervention (PCI)
stemi
acute coronary syndrome
Descripción
Sumario:OBJECTIVE: Primary percutaneous coronary intervention (P-PCI) has demonstrated its efficacy in patients with ST segment elevation myocardial infarction (STEMI). However, patients with STEMI =75 years receive less P-PCI than younger patients despite their higher in-hospital morbimortality. The objective of this analysis was to determine the effectiveness of P-PCI in patients with STEMI =75 years.; METHODS: We included 979 patients with STEMI =75 years, from the ATencion HOspitalaria del Sindrome coronario study, a registry of 8142 consecutive patients with acute coronary syndrome admitted at 31 Spanish hospitals in 2014-2016. We calculated a propensity score (PS) for the indication of P-PCI. Patients that received or not P-PCI were matched by PS. Using logistic regression, we compared the effectiveness of performing P-PCI versus non-performance for the composite primary event, which included death, reinfarction, acute pulmonary oedema or cardiogenic shock during hospitalisation.; RESULTS: Of the included patients, 81.5 % received P-PCI. The matching provided two groups of 169 patients with and without P-PCI. Compared with its non-performance, P-PCI presented a composite event OR adjusted by PS of 0.55 (95% CI 0.34 to 0.89).; CONCLUSIONS: Receiving a P-PCI was significantly associated with a reduced risk of major intrahospital complications in patients with STEMI aged 75 years or older. © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.

Similares en LA Referencia