COMPARATIVE STUDY
JOURNAL ARTICLE
MULTICENTER STUDY

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

Daniel Fernández-Bergés, Irene R Degano, Reyes Gonzalez Fernandez, Isaac Subirana, Joan Vila, Manuel Jiménez-Navarro, Silvia Perez-Fernandez, Mercé Roqué, Antoni Bayes-Genis, Francisco Fernandez-Aviles, Antonio Mayorga, Vicente Bertomeu-Gonzalez, Juan Sanchis, Marcos Rodríguez Esteban, Antonio Sanchez-Hidalgo, Esther Sanchez-Insa, Ane Elorriaga, Emad Abu Assi, Alberto Nuñez, Jose Manuel Garcia Ruiz, Pedro Morrondo Valdeolmillos, Daniel Bosch-Portell, Iñaki Lekuona, Andres Carrillo-Lopez, Alberto Zamora, Berta Vega-Hernandez, Javier Alameda Serrano, Catalina Rubert, Luis Ruiz-Valdepeñas, Laura Quintas, Luis Rodríguez-Padial, Jessica Vaquero, Luis Martinez Dolz, Jose A Barrabes, Pedro L Sanchez, Alessandro Sionis, Julio Martí-Almor, Roberto Elosua, Rosa-María Lidon, David Garcia-Dorado, Jaume Marrugat
Open Heart 2020, 7 (2)
32747454

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 ATención HOspitalaria del Síndrome 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.

Full Text Links

We have located open access full text paper links.

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
32747454
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"