open access

Vol 65, No 10 (2007)
Other
Published online: 2007-10-29
Submitted: 2012-12-28
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Original article
Primary coronary intervention in diabetic octogenarians with acute ST elevation myocardial infarction

Cezary Sosnowski, Ewa Janeczko-Sosnowska, Jacek Woźniak, Bogdan Jasiński, Rafał Dąbrowski, Andrzej Sumiński, Andrzej Wiernikowski, Adam Ostrzycki, Hanna Szwed, Witold Rużyłło
Kardiol Pol 2007;65(10):1181-1186.

open access

Vol 65, No 10 (2007)
Other
Published online: 2007-10-29
Submitted: 2012-12-28

Abstract

Background: Diabetic patients with acute coronary syndrome (ACS) have higher mortality risk than non-diabetic patients. No data are available on long-term results of interventional treatment of ACS in diabetic patients aged ł80 years. Aim: To compare the effects of primary angioplasty (pPCI) on short- and long-term outcome in diabetic patients ≥80 years with ST-elevation myocardial infarction (STEMI) compared to those without diabetes mellitus (DM) of similar age. Methods: In 63 consecutive patients (22% with diabetes mellitus) aged 80-93 years (mean 83±3) with ST elevation ACS (ACS-STE) coronary angiography was performed. Severity of coronary atherosclerosis, effects of pPCI, one-day mortality, in-hospital mortality and one-year mortality were studied. Results: Severity of coronary atherosclerosis measured by angiographic Gensini score and author’s own score was similar in diabetic and non-diabetic patients (23.25±9.6 vs. 20.6±10.2; NS, and 9.1±6.0 vs. 8.1±5.4; NS, respectively). In 78.6% of diabetic subjects and in 69.4% of those without DM, pPCI was performed. Successful pPCI, defined as TIMI 3 flow and residual infarct related stenosis

Abstract

Background: Diabetic patients with acute coronary syndrome (ACS) have higher mortality risk than non-diabetic patients. No data are available on long-term results of interventional treatment of ACS in diabetic patients aged ł80 years. Aim: To compare the effects of primary angioplasty (pPCI) on short- and long-term outcome in diabetic patients ≥80 years with ST-elevation myocardial infarction (STEMI) compared to those without diabetes mellitus (DM) of similar age. Methods: In 63 consecutive patients (22% with diabetes mellitus) aged 80-93 years (mean 83±3) with ST elevation ACS (ACS-STE) coronary angiography was performed. Severity of coronary atherosclerosis, effects of pPCI, one-day mortality, in-hospital mortality and one-year mortality were studied. Results: Severity of coronary atherosclerosis measured by angiographic Gensini score and author’s own score was similar in diabetic and non-diabetic patients (23.25±9.6 vs. 20.6±10.2; NS, and 9.1±6.0 vs. 8.1±5.4; NS, respectively). In 78.6% of diabetic subjects and in 69.4% of those without DM, pPCI was performed. Successful pPCI, defined as TIMI 3 flow and residual infarct related stenosis
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Keywords

acute coronary syndrome; primary coronary intervention; diabetes mellitus; elderly

About this article
Title

Original article
Primary coronary intervention in diabetic octogenarians with acute ST elevation myocardial infarction

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 65, No 10 (2007)

Pages

1181-1186

Published online

2007-10-29

Bibliographic record

Kardiol Pol 2007;65(10):1181-1186.

Keywords

acute coronary syndrome
primary coronary intervention
diabetes mellitus
elderly

Authors

Cezary Sosnowski
Ewa Janeczko-Sosnowska
Jacek Woźniak
Bogdan Jasiński
Rafał Dąbrowski
Andrzej Sumiński
Andrzej Wiernikowski
Adam Ostrzycki
Hanna Szwed
Witold Rużyłło

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