Abstract:
:We compared clinical characteristics, management, and clinical outcomes of nonagenarian acute myocardial infarction (AMI) patients (n=270, 92.3 ± 2.3 yr old) with octogenarian AMI patients (n=2,145, 83.5 ± 2.7 yr old) enrolled in Korean AMI Registry (KAMIR). Nonagenarians were less likely to have hypertension, diabetes and less likely to be prescribed with beta-blockers, statins, and glycoprotein IIb/IIIa inhibitors compared with octogenarians. Although percutaneous coronary intervention (PCI) was preferred in octogenarians than nonagenarians, the success rate of PCI between the two groups was comparable. In-hospital mortality, the composite of in-hospital adverse outcomes and one year mortality were higher in nonagenarians than in octogenarians. However, the composite of the one year major adverse cardiac events (MACEs) was comparable between the two groups without differences in MI or re-PCI rate. PCI improved 1-yr mortality (adjusted hazard ratio [HR], 0.50; 95% confidence interval [CI], 0.36-0.69, P<0.001) and MACEs (adjusted HR, 0.47; 95% CI, 0.37-0.61, P<0.001) without significant complications both in nonagenarians and octogenarians. In conclusion, nonagenarians had similar 1-yr MACEs rates despite of higher in-hospital and 1-yr mortality compared with octogenarian AMI patients. PCI in nonagenarian AMI patients was associated to better 1-yr clinical outcomes.
journal_name
J Korean Med Scijournal_title
Journal of Korean medical scienceauthors
Lee KH,Ahn Y,Kim SS,Rhew SH,Jeong YW,Jang SY,Cho JY,Jeong HC,Park KH,Yoon NS,Sim DS,Yoon HJ,Kim KH,Hong YJ,Park HW,Kim JH,Cho JG,Park JC,Jeong MH,Cho MC,Kim CJ,Kim YJ,KAMIR (Korea Acute Myocardial Infarction Rdoi
10.3346/jkms.2014.29.4.527subject
Has Abstractpub_date
2014-04-01 00:00:00pages
527-35issue
4eissn
1011-8934issn
1598-6357journal_volume
29pub_type
杂志文章abstract::To examine the relationship between birth characteristics and childhood cancer mortality, a retrospective cohort study of Korean children was conducted using data collected by the national birth register between 1995 and 2006, which were then individually linked to death data. A cohort of 6,479,406 children was follow...
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