open access

Vol 63, No 11 (2005)
Other
Published online: 2005-11-18
Submitted: 2012-12-28
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ORIGINAL ARTICLE
Invasive treatment of coronary artery disease in octogenarians

Ewa Gaszewska-Żurek, Paweł Żurek, Joanna Ciosek, Marek Deja, Wojciech Domaradzki, Marek Jasiński, Ryszard Bachowski, Dariusz Szurlej, Stanisław Woś, Michał Tendera
Kardiol Pol 2005;63(11):488-496.

open access

Vol 63, No 11 (2005)
Other
Published online: 2005-11-18
Submitted: 2012-12-28

Abstract

Introduction: There are many patients aged over 80 years among those hospitalised for coronary artery disease (CAD). The unanswered question is whether invasive treatment of such patients is effective and safe. Aim: To assess and compare one-year clinical outcomes after percutaneous coronary angioplasty (PTCA) and surgical coronary artery bypass grafting (CABG) in patients aged over 80 years and in younger patients. Method: There were 63 patients aged over 80 years suffering from CAD who underwent either PTCA or CABG. The control group consisted of 40 patients aged 60-65 years treated in the same way. Data on medical history, cardiovascular risk factors, and angiographic findings were analysed. The potential risks of the procedures, post-procedural complications as well as the clinical status at the end of one-year follow-up were evaluated. Results: There were 24 surgical revascularisation procedures and 39 PCIs performed in the very old patients. Stable angina was found in 29 cases, unstable angina in 19 and acute myocardial infarction in 15 patients. There were three in-hospital deaths and 18 periprocedural complications were noted. During the one-year follow-up period six deaths occurred, persistent or recurrent angina was found in 11 patients after PCI and two after CABG. There were no deaths in the control group and the incidence of minor complications was similar to the senile group. In younger patients who underwent CABG, CCS class at one year was lower than in the very old ones. Conclusions: The invasive treatment of coronary artery disease in octogenarians is feasible with satisfactory results and acceptable procedural risks.

Abstract

Introduction: There are many patients aged over 80 years among those hospitalised for coronary artery disease (CAD). The unanswered question is whether invasive treatment of such patients is effective and safe. Aim: To assess and compare one-year clinical outcomes after percutaneous coronary angioplasty (PTCA) and surgical coronary artery bypass grafting (CABG) in patients aged over 80 years and in younger patients. Method: There were 63 patients aged over 80 years suffering from CAD who underwent either PTCA or CABG. The control group consisted of 40 patients aged 60-65 years treated in the same way. Data on medical history, cardiovascular risk factors, and angiographic findings were analysed. The potential risks of the procedures, post-procedural complications as well as the clinical status at the end of one-year follow-up were evaluated. Results: There were 24 surgical revascularisation procedures and 39 PCIs performed in the very old patients. Stable angina was found in 29 cases, unstable angina in 19 and acute myocardial infarction in 15 patients. There were three in-hospital deaths and 18 periprocedural complications were noted. During the one-year follow-up period six deaths occurred, persistent or recurrent angina was found in 11 patients after PCI and two after CABG. There were no deaths in the control group and the incidence of minor complications was similar to the senile group. In younger patients who underwent CABG, CCS class at one year was lower than in the very old ones. Conclusions: The invasive treatment of coronary artery disease in octogenarians is feasible with satisfactory results and acceptable procedural risks.
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Keywords

octogenarians; coronary artery disease; PTCA; CABG

About this article
Title

ORIGINAL ARTICLE
Invasive treatment of coronary artery disease in octogenarians

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 63, No 11 (2005)

Pages

488-496

Published online

2005-11-18

Bibliographic record

Kardiol Pol 2005;63(11):488-496.

Keywords

octogenarians
coronary artery disease
PTCA
CABG

Authors

Ewa Gaszewska-Żurek
Paweł Żurek
Joanna Ciosek
Marek Deja
Wojciech Domaradzki
Marek Jasiński
Ryszard Bachowski
Dariusz Szurlej
Stanisław Woś
Michał Tendera

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