%0 Journal Article
%T Comparison of interventional and conservative treatment on in-hospital outcomes in elderly patients with acute myocardial infarction
%A Yaling HAN
%A Yi LI
%A Quanming JING
%A Shouli WANG
%A Xiaozeng WANG
%A <br>Yaling HAN
%A Yi LI
%A Quanming JING
%A Shouli WANG
%A Xiaozeng WANG
%J 老年心脏病学杂志(英文版)
%D 2005
%I Science Press
%X Objectives To compare the in-hospital outcomes of elderly patients with acute myocardial infarction (AMI) treated by interventional or conservative protocols. Patients and Methods One handred and seventy-six consec-utive patients hospitalized for AMI were involved, including 95 patients underwent emergent percutaneous coronary intervention (PCI) within 24 h after the onset of AMI and 81 patients received conservative non-invasive therapies. Clinical characteristics and in-hospital cardiac events of these two divisions were analyzed. Results In the PCI group, success rate of procedure and lesions was 98.9% and 98.5% , respectively. Procedure related complication were occurred in 6 cases(6.3%) and no patient died during operative procedures. PCI group had a lower in-hospi-tal mortality (11.6% vs 24.7 % , P < 0.05) and overall cardiac events rate (24.2 % vs56.8 % , P < 0.01) com-pared with conservative group. Patients complicated by pump failure at admission in PCI group had a lower mortality compared with their counterpart in conservative group(27.3% vs60.9%, P <0.05). The average hospital dura-tion between the two groups was no significant differences. The coronary care unit (CCU) duration of the PCI group was less than that of conservative group (4±5dvs8±5d, P < 0.05). Conclusions In elderly patients with AMI, interventional treatment can significantly decrease the in-hospital mortality and cardiac events rate compared with conservative treatment, thus gains a better short-term outcome.
%K myocardial infarction
%K acute
%K elderly
%K angioplasty
%K percutaneous
%K transluminal<br>
%U http://www.alljournals.cn/get_abstract_url.aspx?pcid=A9DB1C13C87CE289EA38239A9433C9DC&cid=AD36F34DDC3BA7B0&jid=4DC702B3A2386A4814E2FF9CFB799B27&aid=6547A2DC1A9FA32FB039BAFD331BB34C&yid=2DD7160C83D0ACED&vid=0B39A22176CE99FB&iid=CA4FD0336C81A37A&sid=B91E8C6D6FE990DB&eid=DB817633AA4F79B9&journal_id=1671-5411&journal_name=Journalofgeriatriccardiology:JGC&referenced_num=0&reference_num=9