계명대학교 의학도서관 Repository

Temporal trends and in-hospital outcomes of primary percutaneous coronary intervention in nonagenarians with ST-segment elevation myocardial infarction

Metadata Downloads
Author(s)
Joon Young KimMyung Ho JeongYong Woo ChoiYong Keun AhnShung Chull ChaeSeung Ho HurTaek Jong HongYoung Jo KimIn Whan SeongIn Ho ChaeMyeong Chan ChoJung Han YoonKi Bae Seung
Keimyung Author(s)
Hur, Seung Ho
Department
Dept. of Internal Medicine (내과학)
Journal Title
Korean Journal of Internal Medicine
Issued Date
2015
Volume
30
Issue
6
Keyword
In-hospital outcomesAged, 90 and overMyocardial infarctionPercutaneous coronary intervention
Abstract
Background/Aims: Data regarding the outcomes of primary percutaneous coronary
intervention (PCI) for ST-segment elevation myocardial infarction (STEMI)
in nonagenarians are very limited. The aim of the present study was to evaluate
the temporal trends and in-hospital outcomes of primary PCI in nonagenarian
STEMI patients.
Methods: We retrospectively reviewed data from the Korea Acute Myocardial Infarction
Registry (KAMIR) from November 2005 to January 2008, and from the
Korea Working Group on Myocardial Infarction (KorMI) from February 2008 to
May 2010.
Results: During this period, the proportion of nonagenarians among STEMI
patients more than doubled (0.59% in KAMIR vs. 1.35% in KorMI), and the rate of
use of primary PCI also increased (from 62.5% in KAMIR to 81.0% in KorMI). We
identified 84 eligible study patients for which the overall in-hospital mortality
rate was 21.4% (25.0% in KAMIR vs. 20.3% in KorMI, p = 0.919). Multivariate analysis
identified two independent predictors of in-hospital mortality, namely a final
Thrombolysis in Myocardial Infarction (TIMI) flow < 3 (odds ratio [OR], 13.7; 95%
confidence interval [CI], 3.2 to 59.0; p < 0.001) and cardiogenic shock during hospitalization
(OR, 6.7; 95% CI, 1.5 to 30.3; p = 0.013).
Conclusions: The number of nonagenarian STEMI patients who have undergone
primary PCI has increased. Although a final TIMI flow < 3 and cardiogenic shock
are independent predictors of in-hospital mortality, primary PCI can be performed
with a high success rate and an acceptable in-hospital mortality rate.
Keimyung Author(s)(Kor)
허승호
Publisher
School of Medicine
Citation
Joon Young Kim et al. (2015). Temporal trends and in-hospital outcomes of primary percutaneous coronary intervention in nonagenarians with ST-segment elevation myocardial infarction. Korean Journal of Internal Medicine, 30(6), 821–828. doi: 10.3904/kjim.2015.30.6.821
Type
Article
ISSN
1226-3303
DOI
10.3904/kjim.2015.30.6.821
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33052
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
공개 및 라이선스
  • 공개 구분공개
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.