TY - JOUR T1 - Benefit of primary percutaneous coronary interventions in the elderly with ST segment elevation myocardial infarction JF - Open Heart JO - Open Heart DO - 10.1136/openhrt-2019-001169 VL - 7 IS - 2 SP - e001169 AU - Daniel Fernández-Bergés AU - Irene R Degano AU - Reyes Gonzalez Fernandez AU - Isaac Subirana AU - Joan Vila AU - Manuel Jiménez-Navarro AU - Silvia Perez-Fernandez AU - Mercé Roqué AU - Antoni Bayes-Genis AU - Francisco Fernandez-Aviles AU - Antonio Mayorga AU - Vicente Bertomeu-Gonzalez AU - Juan Sanchis AU - Marcos Rodríguez Esteban AU - Antonio Sanchez-Hidalgo AU - Esther Sanchez-Insa AU - Ane Elorriaga AU - Emad Abu Assi AU - Alberto Nuñez AU - Jose Manuel Garcia Ruiz AU - Pedro Morrondo Valdeolmillos AU - Daniel Bosch-Portell AU - Iñaki Lekuona AU - Andres Carrillo-Lopez AU - Alberto Zamora AU - Berta Vega-Hernandez AU - Javier Alameda Serrano AU - Catalina Rubert AU - Luis Ruiz-Valdepeñas AU - Laura Quintas AU - Luis Rodríguez-Padial AU - Jessica Vaquero AU - Luis Martinez Dolz AU - Jose A Barrabes AU - Pedro L Sanchez AU - Alessandro Sionis AU - Julio Martí-Almor AU - Roberto Elosua AU - Rosa-María Lidon AU - David Garcia-Dorado AU - Jaume Marrugat A2 - , Y1 - 2020/08/01 UR - http://openheart.bmj.com/content/7/2/e001169.abstract N2 - 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 ATención HOspitalaria del Síndrome 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. ER -