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Long-term prognostic factors in acute myocardial infarction in elderly patients undergoing primary coronary angioplasty – one-year follow-up

Jan Krekora, Halina Bolińska, Marzena Zielińska, Maciej Kuczborski, Maciej Kośmider, Ewa Krekora, Katarzyna Łuczak, Jan Henryk Groch

Med Sci Tech 2006; 47(2): RA119-124

ID: 881499

Background. Acute myocardial infarction (AMI) is one of the main causes of death in the elderly but there are no factors determining poor prognosis in these patients. This is very important to find determination of demographic and clinical factors being of prognostic value in a year follow-up in advanced age patients (≥ 75 years) with AMI, who underwent primary PCI. Methods. A year prospective analysis of 92 patients aged 75 years and over, hospitalized due to AMI, who underwent primary PCI. Results. Thus, the survival rate within a year after AMI was 89,5%; an effective primary PCI did not condition advantageous late outcome. Basing on the carried out analysis of the presented data the factors of late mortality were determined - occurring in the MI treated with PCI were demonstrated to be: cardiogenic shock, arrhythmia and AV II/III0 block, elevated values of creatinine, , marked left ventricularsystolicdys function, earlier myocardial infarction, three-vessel coronary artery disease. Conclusions. The occurrence of cardiogenic shock, arrhythmia appearing later than within the first 24 hours of hospitalization, high degree atrioventricular block, elevated creatinine concentration and post-infarction left ventricular dysfunction (EF<35%) are negative adversefactorsin long-term follow-up of advanced age patients hospitalized due to AMI and treated with PCI method. (Clin. Exp. Med. Lett. 2006; 47(2):119-124)

Keywords: Acute myocardial infartion, elderly patient, Risk Factors, primary angioplasty

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