Primary percutaneous coronary intervention in nonagenarians: is it worthwhile?

ABSTRACT:

Background

Previous studies have demonstrated the feasibility of primary percutaneous coronary intervention (PPCI) in carefully selected nonagenarians. Although current guidelines recommend immediate revascularization in patients with ST elevation myocardial infarction (STEMI) it remains unclear whether PPCI reduces mortality in nonagenarians. The objective of this study is to compare mortality in nonagenarians presenting via the PPCI pathway who undergo coronary intervention, versus those who are managed medically.

Methods and results

A total of 111 consecutive nonagenarians who presented to our tertiary center via the PPCI pathway between July 2013 and December 2018 with myocardial infarction were included. Clinical and angiographic details were collected alongside data on

SUBMITTER: Meah MMN 

PROVIDER: S-EPMC7805235 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature