학술논문

The prevalence and outcomes in STEMI patients aged ≥75 undergoing primary percutaneous coronary intervention in China
Document Type
article
Source
International Journal of Cardiology. Cardiovascular Risk and Prevention, Vol 21, Iss , Pp 200251- (2024)
Subject
ST-Segment elevation myocardial infarction (STEMI)
Older patients
Primary percutaneous coronary intervention
No reperfusion
Diseases of the circulatory (Cardiovascular) system
RC666-701
Language
English
ISSN
2772-4875
Abstract
Objective: To investigate the prevalence and outcomes of primary percutaneous coronary intervention (PCI) in Chinese patients with ST-segment elevation myocardial infarction (STEMI) aged ≥75 years. Methods: We identified STEMI patients aged ≥75 years between 2013 and 2014 from a multicenter registry. The primary outcome was all-cause mortality. The secondary outcome was major adverse cardiac and cerebrovascular event (MACCE) including a composite of all-cause mortality, cardiac death, recurrent MI, stroke, revascularization, and major bleeding. Hazard ratios (HR) and associated 95% confidence interval (CI) were calculated. Results: Approximately 32.9% (n = 999) patients received primary PCI. Primary PCI was associated with lower risks of two-year all-cause mortality (18.0% vs. 36.4%; adjusted HR: 0.54, 95% CI: 0.45 to 0.65, P