Clinical characterristics of very old patients with acute ST segment elevation myocardial infarction
Abstract:Objective To study the clinical characteristics and outcome of very old patients with acute ST-segment elevation myocardial infarction (STEMI) after PCI.Methods Six hundred and four elderly STEMI patients admitted to our hospital from 2010-01-01 to 2014-10-01 were divided into 60-79 years old group (n=524) and ≥80 years old group (n=80).Their general data,coronary angiographic data,PCI data,and end-point events were recorded.Their clinical characteristics and outcome were retrospectively analyzed.Results The incidence of TIMI 3 was lower and the average stent length was shorter in ≥80 years old group than in 60-79 years old group (96.3% vs 99.0%,31 mm vs 38 mm,P<0.05).The number of males,cigaret smokers,clopidogrel and β-blocker users was smaller after PCI.No significant difference was found in MACE between the two groups (17.6% vs 21.3%,P>0.05).Conclusion ≥80 years old STEMI patients are of their unique clinical characteristics.The incidence of MACE is not significantly different in ≥80 years old STEMI patients and 60-79 years old STEMI patients.
Keywords:myocardial infarctioncoronary angiographystentshypertensiondiabetes mellitusprognosis
Publication Date:2017-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:4( 934-937 )
