open access

Vol 14, No 2 (2007)
Original articles
Published online: 2007-03-08
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Percutaneous coronary angioplasty in elderly patients: Assessment of in-hospital outcomes

Adam Sukiennik, Anna Król, Anna Jachalska, Marek Koziński, Tomasz Fabiszak, Aldona Kubica, Marek Radomski, Krzysztof Demidowicz, Maria Bogdan, Grzegorz Raczak, Tamara Sukiennik, Ewa Zabielska, Ryszard Dobosiewicz, Marcin Rychter, Mirosław Jabłoński, Tomasz Białoszyński, Maciej Chojnicki, Grzegorz Grzeœk, Jacek Kubica
Cardiol J 2007;14(2):143-154.

open access

Vol 14, No 2 (2007)
Original articles
Published online: 2007-03-08

Abstract


Background: We aimed to assess in-hospital outcomes of percutaneous transluminal coronary angioplasty (PTCA) in elderly subjects.
Methods: A total of 1000 consecutive patients, who had all been admitted for interventional treatment of symptomatic coronary artery disease, were retrospectively analysed.
Results: Elderly patients (≥ 70 years of age) were more likely to be diabetic, hypertensive and of female gender. They more frequently were diagnosed with chronic heart failure as well as prior stroke. Significantly higher proportions of the elderly population presented with cardiogenic shock and underwent PTCA as a result of acute coronary syndromes. Multivessel coronary disease affected a large majority of senior patients. Although stenting dominated in both age groups, balloon angioplasty was relatively more frequently applied in the elderly. Coronary angioplasty in elderly patients was associated with fewer direct stenting procedures, longer exposure to X-rays and a higher volume of the contrast medium. The efficacy of intervention, assessed according to clinical and angiographic criteria, was high in both groups, although revascularisation was significantly less complete while crude in-hospital mortality higher in the elderly group. Advanced age remained an independent predictor of both increased in-hospital mortality and longer exposure to X-rays after an adjustment for the baseline characteristics in multivariable analyses.
Conclusions: Despite frequent comorbidities and more extensive coronary athersoclerosis, a high rate of procedural success was achieved in the elderly population who underwent PTCA. However, after an adjustment for the baseline characteristics advanced age was still associated with a less favourable in-hospital outcome and a higher degree of procedural complexity. (Cardiol J 2007; 14: 143-154)

Abstract


Background: We aimed to assess in-hospital outcomes of percutaneous transluminal coronary angioplasty (PTCA) in elderly subjects.
Methods: A total of 1000 consecutive patients, who had all been admitted for interventional treatment of symptomatic coronary artery disease, were retrospectively analysed.
Results: Elderly patients (≥ 70 years of age) were more likely to be diabetic, hypertensive and of female gender. They more frequently were diagnosed with chronic heart failure as well as prior stroke. Significantly higher proportions of the elderly population presented with cardiogenic shock and underwent PTCA as a result of acute coronary syndromes. Multivessel coronary disease affected a large majority of senior patients. Although stenting dominated in both age groups, balloon angioplasty was relatively more frequently applied in the elderly. Coronary angioplasty in elderly patients was associated with fewer direct stenting procedures, longer exposure to X-rays and a higher volume of the contrast medium. The efficacy of intervention, assessed according to clinical and angiographic criteria, was high in both groups, although revascularisation was significantly less complete while crude in-hospital mortality higher in the elderly group. Advanced age remained an independent predictor of both increased in-hospital mortality and longer exposure to X-rays after an adjustment for the baseline characteristics in multivariable analyses.
Conclusions: Despite frequent comorbidities and more extensive coronary athersoclerosis, a high rate of procedural success was achieved in the elderly population who underwent PTCA. However, after an adjustment for the baseline characteristics advanced age was still associated with a less favourable in-hospital outcome and a higher degree of procedural complexity. (Cardiol J 2007; 14: 143-154)
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Keywords

elderly patients; percutaneous transluminal coronary angioplasty; comorbidities; procedural characteristics; in-hospital mortality

About this article
Title

Percutaneous coronary angioplasty in elderly patients: Assessment of in-hospital outcomes

Journal

Cardiology Journal

Issue

Vol 14, No 2 (2007)

Pages

143-154

Published online

2007-03-08

Bibliographic record

Cardiol J 2007;14(2):143-154.

Keywords

elderly patients
percutaneous transluminal coronary angioplasty
comorbidities
procedural characteristics
in-hospital mortality

Authors

Adam Sukiennik
Anna Król
Anna Jachalska
Marek Koziński
Tomasz Fabiszak
Aldona Kubica
Marek Radomski
Krzysztof Demidowicz
Maria Bogdan
Grzegorz Raczak
Tamara Sukiennik
Ewa Zabielska
Ryszard Dobosiewicz
Marcin Rychter
Mirosław Jabłoński
Tomasz Białoszyński
Maciej Chojnicki
Grzegorz Grzeœk
Jacek Kubica

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