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Long-term clinical outcomes following percutaneous coronary intervention in patients aged 90 years and older.
Tokuda, Kotaro; Tanaka, Akihito; Uemura, Yusuke; Shibata, Naoki; Iwama, Makoto; Sakaguchi, Teruhiro; Yoshida, Ruka; Negishi, Yosuke; Tashiro, Hiroshi; Tanaka, Miho; Tatami, Yosuke; Yamaguchi, Shogo; Yoshioka, Naoki; Umemoto, Norio; Ohashi, Taiki; Takada, Yasunobu; Asano, Hiroshi; Yoshida, Yukihiko; Tanaka, Toshikazu; Noda, Toshiyuki; Morishima, Itsuro; Ishii, Hideki; Murohara, Toyoaki.
Afiliación
  • Tokuda K; Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
  • Tanaka A; Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan. Electronic address: akihito17491194@gmail.com.
  • Uemura Y; Cardiovascular Center, Anjo Kosei Hospital, Anjo, Japan.
  • Shibata N; Department of Cardiology, Ogaki Municipal Hospital, Ogaki, Japan.
  • Iwama M; Department of Cardiology, Gifu Prefectural General Medical Center, Gifu, Japan.
  • Sakaguchi T; Department of Cardiology, Tosei General Hospital, Seto, Japan.
  • Yoshida R; Department of Cardiology, Japanese Red Cross Society Nagoya Daini Hospital, Nagoya, Japan.
  • Negishi Y; Department of Cardiology, Okazaki Municipal Hospital, Okazaki, Japan.
  • Tashiro H; Department of Cardiology, Ichinomiya Municipal Hospital, Ichinomiya, Japan.
  • Tanaka M; Department of Cardiology, Konan Kosei Hospital, Konan, Japan.
  • Tatami Y; Department of Cardiology, Toyota Kosei Hospital, Toyota, Japan.
  • Yamaguchi S; Cardiovascular Center, Anjo Kosei Hospital, Anjo, Japan.
  • Yoshioka N; Department of Cardiology, Ogaki Municipal Hospital, Ogaki, Japan.
  • Umemoto N; Department of Cardiology, Ichinomiya Municipal Hospital, Ichinomiya, Japan.
  • Ohashi T; Department of Cardiology, Toyota Kosei Hospital, Toyota, Japan.
  • Takada Y; Department of Cardiology, Konan Kosei Hospital, Konan, Japan.
  • Asano H; Department of Cardiology, Tosei General Hospital, Seto, Japan.
  • Yoshida Y; Department of Cardiology, Japanese Red Cross Society Nagoya Daini Hospital, Nagoya, Japan.
  • Tanaka T; Department of Cardiology, Okazaki Municipal Hospital, Okazaki, Japan.
  • Noda T; Department of Cardiology, Gifu Prefectural General Medical Center, Gifu, Japan.
  • Morishima I; Department of Cardiology, Ogaki Municipal Hospital, Ogaki, Japan.
  • Ishii H; Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan; Department of Cardiology, Gunma University Graduate School of Medicine, Maebashi, Japan.
  • Murohara T; Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
J Cardiol ; 2024 Jul 20.
Article en En | MEDLINE | ID: mdl-39034030
ABSTRACT

BACKGROUND:

In an aging society, percutaneous coronary intervention (PCI) for super-elderly patients is commonly performed in clinical practice. However, data are scarce regarding the clinical features and outcomes of this population.

METHODS:

This multicenter observational study enrolled patients aged over 90 years who underwent PCI across 10 hospitals between 2011 and 2020. The study included patients presenting with acute coronary syndrome (ACS) and chronic coronary syndrome (CCS). The occurrence of all-cause and cardiac deaths during hospitalization and after discharge was investigated.

RESULTS:

In total, 402 patients (91.9 ±â€¯2.0 years, 48.3 % male) participated in the study, of whom 77.9 % presented with ACS. The rate of in-hospital death was significantly higher in patients with ACS compared to patients with CCS (15.3 % vs. 2.2 %, p < 0.001). The estimated cumulative incidence rates of all-cause death were 24.3 %, 39.5 %, and 60.4 % at 1, 3, and 5 years, respectively. No significant difference was observed in the occurrence of all-cause death between patients with ACS and CCS. Regarding causes of death after discharge, non-cardiac deaths accounted for just over half of the cases.

CONCLUSION:

This study highlights the clinical features and long-term clinical course of patients aged over 90 years who underwent PCI in a real-world setting. Patients presenting with ACS exhibited a higher rate of in-hospital mortality compared to those with CCS. Following discharge, both ACS and CCS patients experienced comparable and substantial increases in the incidence rates of both cardiac and non-cardiac mortality over time, and a more holistic management approach is warranted.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Cardiol Asunto de la revista: CARDIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Cardiol Asunto de la revista: CARDIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Países Bajos