Comparison of interventional and conservative treatment on in-hospital outcomes in elderly patients with acute myocardial infarction

作     者：Yaling HAN Yi LI Quanming JING Shouli WANG Xiaozeng WANG Yaling HAN, Yi LI, Quanming JING, Shouli WANG, Xiaozeng WANG Department of Cardiology, Shenyang General Hospital of PLA , Shenyang 110016, China

作者机构：Department of Cardiology Shenyang General Hospital of PLA Shenyang 110016 China Department of Cardiology Shenyang General Hospital of PLA Shenyang 110016 China Department of Cardiology Shenyang General Hospital of PLA Shenyang 110016 China Department of Cardiology Shenyang General Hospital of PLA Shenyang 110016 China Department of Cardiology Shenyang General Hospital of PLA Shenyang 110016 China 

出 版 物：《Journal of Geriatric Cardiology》 (老年心脏病学杂志（英文版）)

年 卷 期：2005年第2卷第1期

页      面：24-27页

核心收录：

学科分类：10[医学] 

主　　题：myocardial infarction, acute elderly angioplasty, percutaneous, transluminal 

摘      要：Objectives To compare the in-hospital outcomes of elderly patients with acute myocardial infarction (AMI)treated by interventional or conservative protocols. Patients and Methods One handred and seventy-six consecutive patients hospitalized for AMI were involved, including 95 patients underwent emergent percutaneous coronary intervention (PCI) within 24 h after the onset of AMI and 81 patients received conservative non-invasive *** characteristics and in-hospital cardiac events of these two divisions were analyzed. Results In the PCI group, success rate of procedure and lesions was 98.9% and 98.5%, respectively. Procedure related complication were occurred in 6 cases(6.3%) and no patient died during operative procedures. PCI group had a lower in-hospital mortality (11.6% vs 24.7%, P0.05) and overall cardiac events rate (2A.2%vs56.8%, P0.01) compared with conservative group. Patients complicated by pump failure at admission in PCI group had a lower mortality compared with their counterpart in conservative group(27.3% vs 60.9%, P0.05). The average hospital duration between the two groups was no significant differences. The coronary care unit (CCU) duration of the PCI group was less than that of conservative group (4±5d vs 8±5d, P0.05). Conclusions In elderly patients with AMI, interventional treatment can significantly decrease the in-hospital mortality and cardiac events rate compared with conservative treatment, thus gains a better short-term outcome.