Results of percutaneous transluminal coronary angioplasty for unstable angina pectoris in patients 70 years of age and older

Geoffrey W. Holt, Declan D. Sugrue, John F. Bresnahan, Ronald E. Vlietstra, Dennis R. Bresnahan, Guy S. Reeder, David Holmes

Research output: Contribution to journalArticle

40 Scopus citations

Abstract

Between November 1980 and November 1985, 54 patients ages ≥70 years underwent percutaneous transluminal coronary angioplasty for unstable angina, defined as recent-onset (<1 month) angina, new onset of rest angina (≥2 episodes) or accelerating class III or IV angina. In these 20 men and 34 women, disease was 1-vessel in 34 (63%) and multivessel in 20 (37%). The mean (± standard deviation) ejection fraction was 0.62 ± 0.12. Angioplasty was successful in 43 patients (80%). In the 11 unsuccessful cases, emergency coronary artery bypass grafting for acute occlusion was performed in 3 and elective coronary artery bypass surgery in 8. There were no deaths. Two patients (4%) sustained Q-wave myocardial infarctions. The mean duration of follow-up for the total group was 37 months (6 to 73 months). Of the 43 patients with successful dilation, 4 died, 1 had a non-Q-wave myocardial infarction and 8 had symptomatic restenosis (4 underwent successful repeat angioplasty, 1 had repeat percutaneous transluminal coronary angioplasty and then bypass surgery, 1 had repeat bypass surgery alone and 2 had medical therapy). At last follow-up, 3 patients had stable class III or IV angina and 31 patients (72%) were angina-free.

Original languageEnglish (US)
Pages (from-to)994-997
Number of pages4
JournalThe American journal of cardiology
Volume61
Issue number13
DOIs
StatePublished - May 1 1988

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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