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One-year clinical outcomes in invasive treatment strategies for acute ST-elevation myocardial infarction complicated by cardiogenic shock in eld-erly patients

查看全文 作　　者：Yeon Pyo [1]Yoo;Ki-Woon [2]Kang;Hyeon Soo [3]Yoon;Jin Cheol [2]Myung;Yu Jeong [2]Choi;Won Ho [2]Kim;Sang Hyun [2]Park;Kyung Tae [2]Jung;Myung Ho [4]Jeong 高影响力作者 机构地区：[1]Division of Cardiology, Hyosung General Hospital, 162-90 Sandang dong, Chungju 360-802, South Korea;[2]Division of Cardiology, Eulji University Hospital, Eulji University School of Medicine, 1306 Dunsan dong, Seogu, Daejeon 302-120, South Korea;[3]Division of Cardiology, Worker`s Compensation&Welfare Service Hospital, 833 Gaejok-ro, Daejeon 306-060, South Korea;[4]Division of Cardiology, Chunman National University Hospital, 42 Jaebong-ro, Kwangju, 501-757, South Korea高影响力机构 出　　处：《Journal of Geriatric Cardiology》索引2013年第10卷第3期,共7页高影响力期刊 摘　　要：Objective To investigate the clinical outcomes of an invasive strategy for elderly (aged≥75 years) patients with acute ST-segment elevation myocardial infarction (STEMI) complicated by cardiogenic shock (CS). Methods Data on 366 of 409 elderly CS patients from a total of 6,132 acute STEMI cases enrolled in the Korea Acute Myocardial Infarction Registry between January 2008 and June 2011, were collected and analyzed. In-hospital deaths and the 1-month and 1-year survival rates free from major adverse cardiac events (MACE;defined as all cause death, myocardial infarction, and target vessel revascularization) were reported for the patients who had undergone invasive (n=310) and conservative (n=56) treatment strategies. Results The baseline clinical characteristics were not significantly different between the two groups. There were fewer in-hospital deaths in the invasive treatment strategy group (23.5%vs. 46.4%, P<0.001). In addition, the 1-year MACE-free survival rate after invasive treatment was significantly lower compared with the conservative treatment (51%vs. 66%, P=0.001). Conclusions In elderly patients with acute STEMI complicated by CS, the outcomes of invasive strategy are similar to those in younger patients at the 1-year follow-up.
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