Application of primary PCI in elderly patients with AMI
10.3969/j.issn.1009-0126.2018.03.007
- VernacularTitle:直接经皮冠状动脉介入治疗在老年急性心肌梗死中的应用
- Author:
Zhengming XU
1
;
Tianchang LI
;
Yu CHEN
;
Xianfeng LI
;
Yi CAO
;
Yigang QIU
;
Boyang ZHANG
;
Zhichao WANG
;
Xingyu CHEN
Author Information
1. 海军总医院心内科
- Keywords:
myocardial infarction;
intraoperative complications;
radial artery
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2018;20(3):250-252
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the feasibility,safety and efficacy of primary PCI in elderly patients with AMI.Methods Three hundred and sixty-four AMI patients were divided into ≥75 years old group (n=90) and ＜75 years old group (n=274).The successful operation rate,preoperative complication rate,mortality and incidence of major adverse cardiovascular events (MACE) were recorded during their hospital stay time.Results The successful operation rate was 94.4％,the postoperative TIMI 3 blood flow rate was 87.8％,and the preoperative complication rate was 10.0 ％ in ≥75 years old group.The mortality and incidence of MACE were significantly higher in ≥75 years old group than in＜75 years old group during the hospital stay time (12.2％ vs 2.9％,P =0.001;16.7 ％ vs 5.1％,P =0.000).Conclusion Transradial primary PCI is a safe,feasible and effective therapy for ≥75 years old AMI patients.
