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首页> 外文会议>International Congress on Coronary Artery Disease >Incidence and Predictors of Mortality in Very Elderly Patients with ST-segment Elevation Acute Myocardial Infarction Undergoing Primary Angioplasty.
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Incidence and Predictors of Mortality in Very Elderly Patients with ST-segment Elevation Acute Myocardial Infarction Undergoing Primary Angioplasty.

机译：高龄癌症急性心肌梗死急性心肌梗死患者中死亡率的发病率和预测因素。

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摘要

The primary percutaneous coronary intervention (PPCI) is the preferred therapy for the ST-segment elevation acute myocardial infarction (STEMI) in the general population and nowadays is performed more often in the population of very elderly patients despite the high risk of complications and mortality. From January 2006 to January 2010, we performed 1,534 PPCI, being 356 (23.2%) in patients older than 75 years. Procedural success rate was achieved in the 90% of patients, with 1 or 2 stents implanted in the 81%. Mean age was 80 years, 53% were male and 8.4% were in Killip class III-IV. Thirty-day all-cause mortality occurred 17.4% and 1-year mortality in 4%. Patient age (RR 1.153 [95% CI 1.056-1.260]), Killip class III-IV (RR 3.084 [95%CI 2.047-4.646]), post-PPCI TIMI flow grade (RR 0.339 [95% CI 0.163-0.705]) were identified as independent predictors of 30-day mortality and at 1-year mortality only the family history of coronary heart disease (RR 9.040 [95%CI 2.415-33.837]).
机译：主要经皮冠状动脉干预（PPCI）是ST段抬高的优选治疗急性心肌梗死（STEMI）在一般人群中，尽管并发症和死亡率的风险很高，但是在非常老年患者的人群中更常见。 从2006年1月至2010年1月，我们进行了1,534磅PPCI，患者356（23.2％），患者比75岁。 在90％的患者中实现了程序成功率，其中1或2个支架植入了81％。 平均年龄为80岁，53％是男性，8.4％是杀手级III-IV。 本年度的全因死亡率为17.4％，1年死亡率为4％。 患者年龄（RR 1.153 [95％CI 1.056-1.260]），Kighip III-IV（RR 3.084 [95％CI 2.047-4.646]），PPCI后TIMI流量级（RR 0.339 [95％CI 0.163-0.705] ）被鉴定为30天死亡率的独立预测因子，并且仅在1年的死亡率下，只有冠心病的家族史（RR 9.040 [95％CI 2.415-33.837]）。

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