Portal de investigación
Benefit of primary percutaneous coronary interventions in the elderly with ST segment elevation myocardial infarction
Fecha de publicación:
Autores de IIS La Fe
Participantes ajenos a IIS La Fe
- Fernandez-Berges, D
- Degano, IR
- Fernandez, RG
- Subirana, I
- Vila, J
- Jimenez-Navarro, M
- Perez-Fernandez, S
- Roque, M
- Bayes-Genis, A
- Fernandez-Aviles, F
- Mayorga, A
- Bertomeu-Gonzalez, V
- Sanchis, J
- Esteban, MR
- Sanchez-Hidalgo, A
- Sanchez-Insa, E
- Elorriaga, A
- Abu Assi, E
- Nunez, A
- Ruiz, JMG
- Valdeolmillos, PM
- Bosch-Portell, D
- Lekuona, I
- Carrillo-Lopez, A
- Zamora, A
- Vega-Hernandez, B
- Serrano, JA
- Rubert, C
- Ruiz-Valdepenas, L
- Quintas, L
- Rodriguez-Padial, L
- Vaquero, J
- Barrabes, JA
- Sanchez, PL
- Sionis, A
- Marti-Almor, J
- Elosua, R
- Lidon, RM
- Garcia-Dorado, D
- Marrugat, J
Grupos
Abstract
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.
Datos de la publicación
- ISSN/ISSNe:
- 2053-3624,
- Tipo:
- Article
- Páginas:
- -
- PubMed:
- 32747454
- Factor de Impacto:
- 1,050 SCImago ℠
- Cuartil:
- Q1 SCImago ℠
Open Heart BMJ Publishing Group
Citas Recibidas en Web of Science: 4
Documentos
- No hay documentos
Filiaciones
Keywords
- coronary intervention (PCI); stemi; acute coronary syndrome