RT Journal Article
SR Electronic
T1 Benefit of primary percutaneous coronary interventions in the elderly with ST segment elevation myocardial infarction
JF Open Heart
JO Open Heart
FD British Cardiovascular Society
SP e001169
DO 10.1136/openhrt-2019-001169
VO 7
IS 2
A1 Daniel Fernández-Bergés
A1 Irene R Degano
A1 Reyes Gonzalez Fernandez
A1 Isaac Subirana
A1 Joan Vila
A1 Manuel Jiménez-Navarro
A1 Silvia Perez-Fernandez
A1 Mercé Roqué
A1 Antoni Bayes-Genis
A1 Francisco Fernandez-Aviles
A1 Antonio Mayorga
A1 Vicente Bertomeu-Gonzalez
A1 Juan Sanchis
A1 Marcos Rodríguez Esteban
A1 Antonio Sanchez-Hidalgo
A1 Esther Sanchez-Insa
A1 Ane Elorriaga
A1 Emad Abu Assi
A1 Alberto Nuñez
A1 Jose Manuel Garcia Ruiz
A1 Pedro Morrondo Valdeolmillos
A1 Daniel Bosch-Portell
A1 Iñaki Lekuona
A1 Andres Carrillo-Lopez
A1 Alberto Zamora
A1 Berta Vega-Hernandez
A1 Javier Alameda Serrano
A1 Catalina Rubert
A1 Luis Ruiz-Valdepeñas
A1 Laura Quintas
A1 Luis Rodríguez-Padial
A1 Jessica Vaquero
A1 Luis Martinez Dolz
A1 Jose A Barrabes
A1 Pedro L Sanchez
A1 Alessandro Sionis
A1 Julio Martí-Almor
A1 Roberto Elosua
A1 Rosa-María Lidon
A1 David Garcia-Dorado
A1 Jaume Marrugat
A1 ,
YR 2020
UL http://openheart.bmj.com/content/7/2/e001169.abstract
AB 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.