Have a personal or library account? Click to login
Clinical Characteristics and Outcomes of Elderly Patients Undergoing Primary Percutaneous Coronary Intervention: An Observational Cohort Study Cover

Clinical Characteristics and Outcomes of Elderly Patients Undergoing Primary Percutaneous Coronary Intervention: An Observational Cohort Study

Open Access
|Dec 2024

References

  1. 1Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, Das SR, de Ferranti S, Després JP, Fullerton HJ, Howard VJ, Huffman MD, Isasi CR, Jiménez MC, Judd SE, Kissela BM, Lichtman JH, Lisabeth LD, Liu S, Mackey RH, Magid DJ, McGuire DK, Mohler ER 3rd, Moy CS, Muntner P, Mussolino ME, Nasir K, Neumar RW, Nichol G, Palaniappan L, Pandey DK, Reeves MJ, Rodriguez CJ, Rosamond W, Sorlie PD, Stein J, Towfighi A, Turan TN, Virani SS, Woo D, Yeh RW, Turner MB. American Heart Association Statistics Committee; Stroke Statistics Subcommittee. Heart Disease and Stroke Statistics-2016 Update: A Report From the American Heart Association. Circulation. 2016 Jan 26; 133(4): e38360. DOI: 10.1161/CIR.0000000000000350. Epub 2015 Dec 16. Erratum in: Circulation. 2016 Apr 12; 133(15): e599. DOI: https://doi.org/10.1161/CIR.0000000000000409. PMID: 26673558.
  2. 2Nanna MG, Sutton NR, Kochar A, et al. Assessment and management of older adults undergoing PCI, Part 1: A JACC: Advances Expert Panel. JACC: Advances. 2023; 2(4):100389. DOI: 10.1016/j.jacadv.2023.100389
  3. 3Byrne RA, Rossello X, Coughlan JJ, et al. 2023 ESC Guidelines for the management of acute coronary syndromes: Developed by the task force on the management of acute coronary syndromes of the European Society of Cardiology (ESC). Eur Heart J. 2023; 44(38):37203826. DOI: 10.1093/eurheartj/ehad191
  4. 4Barbero U, Scacciatella P, Iannaccone M, et al. Culprit plaque characteristics in younger versus older patients with acute coronary syndromes: An optical coherence tomography study from the FORMIDABLE registry. Catheter Cardiovasc Interv. 2018; 92(1):E1E8. DOI: 10.1002/ccd.27172
  5. 5Scholtz A. Professor Sir Magdi Yacoub and the Aswan Heart Centre. J Am Coll Cardiol. 2018 Sep 18; 72(12):14171421. DOI: 10.1016/j.jacc.2018.08.005. PMID: 30213334.
  6. 6Damluji AA, Forman DE, Wang TY, et al. Management of acute coronary syndrome in the older adult population: A scientific statement from the American Heart Association. Circulation. 2023; 147(3):E32E62. DOI: 10.1161/CIR.0000000000001112
  7. 7Orimo H, Ito H, Suzuki T, Araki A, Hosoi T, Sawabe M. Reviewing the definition of “elderly.” Geriatr Gerontol Int. 2006; 6(3):149–158. DOI: 10.1111/j.1447-0594.2006.00341.x
  8. 8Vaccarino V, Badimon L, Corti R, et al. Presentation, management, and outcomes of ischaemic heart disease in women. Nat Rev Cardiol. 2013; 10(9):508518. DOI: 10.1038/nrcardio.2013.93
  9. 9Manfrini O, Dorobantu M, Vasiljevic Z, et al. Acute coronary syndrome in octogenarian patients: Results from the international registry of acute coronary syndromes in transitional countries (ISACS-TC) registry. European Heart Journal Supplements. 2014; 16(suppl_A):A87A94. DOI: 10.1093/eurheartj/sut019
  10. 10Perl L, Franzé A, D’ascenzo F, et al. Elderly suffering from st-segment elevation myocardial infarction—Results from a database analysis from two mediterranean medical centers. J Clin Med. 2021; 10(11):2435. DOI: 10.3390/jcm10112435
  11. 11Bugiardini R, Yan AT, Yan RT, et al. Factors influencing underutilization of evidence-based therapies in women. Eur Heart J. 2011; 32(11):13371344. DOI: 10.1093/eurheartj/ehr027
  12. 12Toleva O, Ibrahim Q, Brass N, Sookram S, Welsh R. Original research article: Treatment choices in elderly patients with ST: Elevation myocardial infarction—Insights from the Vital Heart Response registry. Open Heart. 2015; 2(1):e000235. DOI: 10.1136/openhrt-2014-000235
  13. 13D’Avila AC, Filho RR, Schmidt MM, et al. Primary coronary angioplasty in patients over 80 years of age. Revista Brasileira de Cardiologia Invasiva (English Edition). 2015; 23(4):261265. DOI: 10.1016/j.rbciev.2017.02.012
  14. 14Alexander KP, Newby LK, Armstrong PW, et al. Acute coronary care in the elderly, part II: ST-segment-elevation myocardial infarction: A scientific statement for healthcare professionals from the American Heart Association Council on Clinical Cardiology: in collaboration with the Society of Geriatric Cardiology. Circulation. 2007; 115(19):25702589. DOI: 10.1161/CIRCULATIONAHA.107.182616
  15. 15Mehta RH, Rathore SS, Radford MJ, Wang Y, Wang Y, Krumholz HM. Acute myocardial infarction in the elderly: Differences by age. J Am Coll Cardiol. 2001; 38(3):736741. DOI: 10.1016/S0735-1097(01)01432-2
  16. 16Uemura S, Okamoto H, Nakai M, Nishimura K, Miyamoto Y, Yasuda S, Tanaka N, Kohsaka S, Kadota K, Saito Y, Tsutsui H, Komuro I, Ikari Y, Ogawa H, Nakamura M. Primary Percutaneous Coronary Intervention in Elderly Patients With Acute Myocardial Infarction- An Analysis From a Japanese Nationwide Claim-Based Database. Circ J. 2019 May 24; 83(6):12291238. DOI: 10.1253/circj.CJ-19-0004. Epub 2019 Apr 24. PMID: 31019165.
  17. 17Hafiz AM, Fuad Jan M, Mori N, Gupta A, Bajwa T, Allaqaband S. Contemporary clinical outcomes of primary percutaneous coronary intervention in elderly versus younger patients presenting with acute st-segment elevation myocardial infarction. C (Basel). Published online; 2011. DOI: 10.1111/j.1540-8183.2011.00634.x
  18. 18Cho NH, Shaw JE, Karuranga S, Huang Y, Da JD, Fernandes R, et al. IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045; 2018 [cited 2023 Dec 31]. DOI: 10.1016/j.diabres.2018.02.023
  19. 19Hill NR, Fatoba ST, Oke JL, Hirst JA, O’Callaghan CA, Lasserson DS, et al. Global Prevalence of Chronic Kidney Disease - A Systematic Review and Meta-Analysis. PLoS One [Internet]. 2016 Jul 1 [cited 2023 Aug 23]; 11(7). Available from: https://pubmed.ncbi.nlm.nih.gov/27383068/.
  20. 20Go AS, Chertow GM, Fan D, McCulloch CE, Hsu C yuan. Chronic kidney disease and the risks of death, cardiovascular events, and hospitalization. N Engl J Med. 2004; 351(13):12961305. DOI: 10.1056/NEJMoa041031
  21. 21Anavekar NS, McMurray JJV, Velazquez EJ, et al. Relation between renal dysfunction and cardiovascular outcomes after myocardial infarction. N Engl J Med. 2004; 351(13):12851295. DOI: 10.1056/NEJMoa041365
  22. 22Ismail MD, Jalalonmuhali M, Azhari Z, Mariapun J, Lee ZV, Zainal Abidin I, et al. Outcomes of STEMI patients with chronic kidney disease treated with percutaneous coronary intervention: the Malaysian National Cardiovascular Disease Database – Percutaneous Coronary Intervention (NCVD-PCI) registry data from 2007 to 2014. BMC Cardiovasc Disord [Internet]. 2018 Sep 24 [cited 2023 Aug 23]; 18(1). Available from: https://pmc/articles/PMC6154951/.
  23. 23Hasdai D, Holmes DR, Topol EJ, Berger PB, Criger DA, Hochman JS, et al. Article No. euhj.1999.1282, available online at. Eur Heart J [Internet]. 1999 [cited 2024 Jan 18]; 20:12835. Available from: http://www.idealibrary.comon.
  24. 24De Luca G, Van’t Hof AWJ, De Boer MJ, et al. Impaired myocardial perfusion is a major explanation of the poor outcome observed in patients undergoing primary angioplasty for ST-segment-elevation myocardial infarction and signs of heart failure. Circulation. 2004; 109(8):958961. DOI: 10.1161/01.CIR.0000120504.31457.28
  25. 25Zeymer U, Vogt A, Zahn R, et al. Predictors of in-hospital mortality in 1333 patients with acute myocardial infarction complicated by cardiogenic shock treated with primary percutaneous coronary intervention (PCI); Results of the primary PCI registry of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausärzte (ALKK). Eur Heart J. 2004; 25(4):322328. DOI: 10.1016/j.ehj.2003.12.008
  26. 26Bizios A, Schlosser B, Lundberg D, Traboulsi M. 281 Clinical outcomes of primary PCI in octogenarians compared to their younger counterparts. Canadian Journal of Cardiology. 2012; 28(5):S197. DOI: 10.1016/j.cjca.2012.07.264
  27. 27Uemura S, Okamoto H, Nakai M, et al. Primary Percutaneous Coronary Intervention in Elderly Patients With Acute Myocardial Infarction ― An analysis from a Japanese nationwide claim-based database ―. Circulation Journal. 2019; 83(6):12291238. DOI: 10.1253/circj.CJ-19-0004
  28. 28Spoon DB, Psaltis PJ, Singh M, et al. Trends in cause of death after percutaneous coronary intervention. Circulation. 2014; 129(12):12861294. DOI: 10.1161/CIRCULATIONAHA.113.006518
  29. 29Claeys MJ, de Meester A, Convens C, et al. Contemporary mortality differences between primary percutaneous coronary intervention and thrombolysis in ST-segment elevation myocardial infarction. Arch Intern Med. 2011; 171(6):544549. DOI: 10.1001/archinternmed.2011.57
  30. 30Tung BWL, Ng ZY, Kristanto W, et al. Characteristics and outcomes of young patients with ST segment elevation myocardial infarction undergoing primary percutaneous coronary intervention: Retrospective analysis in a multiethnic Asian population. Open Heart. 2021; 8(1):e001437. DOI: 10.1136/openhrt-2020-001437
  31. 31Guagliumi G, Stone GW, Cox DA, et al. Outcome in elderly patients undergoing primary coronary intervention for acute myocardial infarction: Results from the Controlled Abciximab and Device Investigation to Lower Late Angioplasty Complications (CADILLAC) trial. Circulation. 2004; 110(12):15981604. DOI: 10.1161/01.CIR.0000142862.98817.1F
  32. 32Hafiz AM, Jan MF, Mori N, Gupta A, Bajwa T, Allaqaband S. Contemporary clinical outcomes of primary percutaneous coronary intervention in elderly versus younger patients presenting with acute ST-segment elevation myocardial infarction. J Interv Cardiol. 2011; 24(4):357365. DOI: 10.1111/j.1540-8183.2011.00634.x
  33. 33Bahloul A, Ghorbel CH, Hammami R, Charfeddine S, Abid L, Kammoun S. Contrast induced nephropathy in very elderly patients undergoing percutaneous coronary intervention for acute coronary syndrome. Archives of Cardiovascular Diseases Supplements. 2022; 14(1):2122. DOI: 10.1016/j.acvdsp.2021.09.046
  34. 34Feldman DN, Gade CL, Slotwiner AJ, et al. Comparison of outcomes of percutaneous coronary interventions in patients of three age groups (80 years) (from the New York State Angioplasty Registry). Am J Cardiol. 2006; 98(10):13341339. DOI: 10.1016/j.amjcard.2006.06.026
  35. 35Ndrepepa G, Neumann FJ, Schulz S, et al. Incidence and prognostic value of bleeding after percutaneous coronary intervention in patients older than 75 years of age. Catheterization and Cardiovascular Interventions. 2014; 83(2):182189. DOI: 10.1002/ccd.25189
  36. 36Eikelboom JW, Mehta SR, Anand SS, Xie C, Fox KAA, Yusuf S. Adverse impact of bleeding on prognosis in patients with acute coronary syndromes. Circulation. 2006; 114(8):774782. DOI: 10.1161/CIRCULATIONAHA.106.612812
  37. 37Mehran R, Pocock S, Nikolsky E, et al. Impact of bleeding on mortality after percutaneous coronary intervention: Results from a patient-level pooled analysis of the REPLACE-2 (Randomized Evaluation of PCI Linking Angiomax to Reduced Clinical Events), ACUITY (Acute Catheterization and Urgent Intervention Triage Strategy), and HORIZONS-AMI (Harmonizing Outcomes With Revascularization and Stents in Acute Myocardial Infarction) Trials. JACC Cardiovasc Interv. 2011; 4(6):654664. DOI: 10.1016/j.jcin.2011.02.011
  38. 38Chhatriwalla AK, Amin AP, Kennedy KF, et al. Association between bleeding events and in-hospital mortality after percutaneous coronary intervention. JAMA. 2013; 309(10):10221029. DOI: 10.1001/jama.2013.1556
  39. 39Ariza-Solé A, Formiga F, Lorente V, et al. Efficacy of bleeding risk scores in elderly patients with acute coronary syndromes. Revista Española de Cardiología (English Edition). 2014; 67(6):463470. DOI: 10.1016/j.rec.2013.10.008
  40. 40Moscucci M, Investigators for the G, Fox KAA, et al. Predictors of major bleeding in acute coronary syndromes: The Global Registry of Acute Coronary Events (GRACE). Eur Heart J. 2003; 24(20):18151823. DOI: 10.1016/S0195-668X(03)00485-8
  41. 41Cantor WJ, Mehta SR, Yuan F, et al. Radial versus femoral access for elderly patients with acute coronary syndrome undergoing coronary angiography and intervention: insights from the RIVAL trial. Am Heart J. 2015; 170(5):880886. DOI: 10.1016/J.AHJ.2015.08.011
  42. 42Ng AKY, Ng PY, Ip A, Jim MH, Siu CW. Association Between Radial Versus Femoral Access for Percutaneous Coronary Intervention and Long-Term Mortality. Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease. 2021; 10(15): e021256. DOI: 10.1161/JAHA.121.021256
  43. 43Ferrante G, Rao SV, Jüni P, et al. Radial Versus Femoral Access for Coronary Interventions Across the Entire Spectrum of Patients With Coronary Artery Disease: A Meta-Analysis of Randomized Trials. JACC Cardiovasc Interv. 2016; 9(14):14191434. DOI: 10.1016/J.JCIN.2016.04.014/SUPPL_FILE/MMC1.DOCX
  44. 44Siudak Z, Tokarek T, Dziewierz A, et al. Reduced periprocedural mortality and bleeding rates of radial approach in ST-segment elevation myocardial infarction. Propensity score analysis of data from the ORPKI Polish National Registry. EuroIntervention. 2017; 13(7):843850. DOI: 10.4244/EIJ-D-17-00078
  45. 45van Werkum JW, Heestermans AA, Zomer AC, Kelder JC, Suttorp MJ, Rensing BJ, Koolen JJ, Brueren BR, Dambrink JH, Hautvast RW, Verheugt FW, ten Berg JM. Predictors of coronary stent thrombosis: the Dutch Stent Thrombosis Registry. J Am Coll Cardiol. 2009 Apr 21; 53(16):1399409. DOI: 10.1016/j.jacc.2008.12.055. PMID: 19371823.
DOI: https://doi.org/10.5334/gh.1383 | Journal eISSN: 2211-8179
Language: English
Submitted on: Jun 9, 2024
Accepted on: Dec 5, 2024
Published on: Dec 30, 2024
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2024 Ahmed Hassan, Amr Yosry Emam, Mohammed Thabet, Ahmed Osman, Khaled Ahmed Shams, Mina Samir Labib, Ahmed Elguindy, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.