TY - JOUR
T1 - Percutaneous transluminal coronary angioplasty in the elderly
T2 - Early and long-term results
AU - Thompson, Randall C.
AU - Holmes, David R.
AU - Gersh, Bernard J.
AU - Mock, Michael B.
AU - Bailey, Kent R.
PY - 1991
Y1 - 1991
N2 - The immediate and long-term efficacy of coronary angioplasty in the elderly was determined by studying 752 patients ≥65 years old and comparing patients ≥75 years old with those 65 to 74 years old. The oldest patients were more highly symptomatic, were more likely to be in heart failure, had more multivessel disease and were more likely to undergo multivessel dilation. The immediate success rate of angioplasty was higher in the oldest patients (92.8% versus 82%) (p = 0.0003). The hospital mortality rate was also higher (6.2% versus 1.6%) (p < 0.001). Long-term overall survival was high. However, long-term event-free survival was lowest in the oldest patients, and recurrent severe angina was particularly common. Thus, in very elderly patients, coronary angioplasty is usually successful, but extra caution is warranted; also, long-term relief from angina is less common than in younger patients.
AB - The immediate and long-term efficacy of coronary angioplasty in the elderly was determined by studying 752 patients ≥65 years old and comparing patients ≥75 years old with those 65 to 74 years old. The oldest patients were more highly symptomatic, were more likely to be in heart failure, had more multivessel disease and were more likely to undergo multivessel dilation. The immediate success rate of angioplasty was higher in the oldest patients (92.8% versus 82%) (p = 0.0003). The hospital mortality rate was also higher (6.2% versus 1.6%) (p < 0.001). Long-term overall survival was high. However, long-term event-free survival was lowest in the oldest patients, and recurrent severe angina was particularly common. Thus, in very elderly patients, coronary angioplasty is usually successful, but extra caution is warranted; also, long-term relief from angina is less common than in younger patients.
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U2 - 10.1016/S0735-1097(10)80130-5
DO - 10.1016/S0735-1097(10)80130-5
M3 - Article
C2 - 2016440
AN - SCOPUS:0025738626
SN - 0735-1097
VL - 17
SP - 1245
EP - 1250
JO - Journal of the American College of Cardiology
JF - Journal of the American College of Cardiology
IS - 6
ER -