Vol 10: One-year clinical outcomes in invasive treatment strategies for acute ST-elevation myocardial infarction complicated by cardiogenic shock in elderly patients.Report as inadecuate



 Vol 10: One-year clinical outcomes in invasive treatment strategies for acute ST-elevation myocardial infarction complicated by cardiogenic shock in elderly patients.


Vol 10: One-year clinical outcomes in invasive treatment strategies for acute ST-elevation myocardial infarction complicated by cardiogenic shock in elderly patients. - Download this document for free, or read online. Document in PDF available to download.

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This article is from Journal of Geriatric Cardiology : JGC, volume 10.AbstractObjective: To investigate the clinical outcomes of an invasive strategy for elderly aged ≥ 75 years patients with acute ST-segment elevation myocardial infarction STEMI complicated by cardiogenic shock CS. Methods: Data on 366 of 409 elderly CS patients from a total of 6,132 acute STEMI cases enrolled in the Korea Acute Myocardial Infarction Registry between January 2008 and June 2011, were collected and analyzed. In-hospital deaths and the 1-month and 1-year survival rates free from major adverse cardiac events MACE; defined as all cause death, myocardial infarction, and target vessel revascularization were reported for the patients who had undergone invasive n = 310 and conservative n = 56 treatment strategies. Results: The baseline clinical characteristics were not significantly different between the two groups. There were fewer in-hospital deaths in the invasive treatment strategy group 23.5% vs. 46.4%, P 0.001. In addition, the 1-year MACE-free survival rate after invasive treatment was significantly lower compared with the conservative treatment 51% vs. 66%, P = 0.001. Conclusions: In elderly patients with acute STEMI complicated by CS, the outcomes of invasive strategy are similar to those in younger patients at the 1-year follow-up.



Author: Yoo, Yeon Pyo; Kang, Ki-Woon; Yoon, Hyeon Soo; Myung, Jin Cheol; Choi, Yu Jeong; Kim, Won Ho; Park, Sang Hyun; Jung, Kyung Tae; Jeong, Myung Ho

Source: https://archive.org/



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