caa a22 4500 445298359 CHVBK 20180317142549.0 cr unu---uuuuu 170323e20100701xx s 000 0 eng 10.1007/s12013-010-9083-2 doi (NATIONALLICENCE)springer-10.1007/s12013-010-9083-2 Efficacy of Coronary Angioplasty on Long-Term Outcome in Elderly Chinese Patients with ST Elevated Myocardial Infarction [Elektronische Daten] [JieYan Shen, YongPing Du, Wei Song, JianPing Liu, ShuXuan Jin, Jun Bu, Ben He] The benefit and efficacy of interventional coronary therapies in elderly patients is still a controversial subject, especially in parts of the world where traditional and conservative medicine is still mainstream. In China, the benefit of intervention is still questionable, hence, this study investigated the prognostic significance of coronary angioplasty on outcomes of elderly patients presenting with ST-segment elevated myocardial infarction (STEMI). The study cohort comprised of 270 elderly (age≥75 years) patients who had confirmed STEMI. Some 116 patients underwent coronary angioplasty (called CA group) and their prognoses and survival over the short- and long-term periods (up to 80months) were compared to 154 comparable patients who received a noninvasive, more conservative medical therapy (non-CA group). The subsequent Kaplan-Meier survival curves and statistical analyses were used to ascertain any difference between the groups. There was no significant differences between the two groups in terms of their clinical presentation, clinical risk, cardiac features, medications and medical procedures, except that the peak creatine kinase was significantly higher in the CA group. The success rate of interventional percutaneous coronary intervention observed in the CA group was 92.4% and during the hospitalization period, there were fewer deaths in the CA group (11 vs. 61 in the non-CA group). Furthermore, after 1-year and up to 7years postsurgery, the CA group had a significant survival when compared to the non-CA cohort. Analysis of the longer-term data, using multivariate Cox regression analysis after 80months indicated a hazard ratio of mortality for patients in CA group to be 0.283 (95% CI: 0.140-0.534, P<0.001). Also, multivariate logistic regression analysis identified conservative treatment, chronic renal failure, cardiac arrhythmia, chronic lung disease and left ventricular ejection fraction, as predictors of higher long-term mortality in elderly patients with STEMI. In conclusion, this study clearly indicates that elderly Chinese patients with STEMI who undergo coronary angioplasty benefit and have a better survival rates in both the short- and long-term. Springer Science+Business Media, LLC, 2010 ST elevated myocardial infarction nationallicence Coronary angioplasty nationallicence Elderly nationallicence Mortality nationallicence Shen JieYan Department of Cardiology, RenJi Hospital, Shanghai JiaoTong University Medical College, No. 1630, Dong Fang Rd, 200127, Shanghai, People's Republic of China aut Du YongPing Department of Cardiology, RenJi Hospital, Shanghai JiaoTong University Medical College, No. 1630, Dong Fang Rd, 200127, Shanghai, People's Republic of China aut Song Wei Department of Cardiology, RenJi Hospital, Shanghai JiaoTong University Medical College, No. 1630, Dong Fang Rd, 200127, Shanghai, People's Republic of China aut Liu JianPing Department of Cardiology, RenJi Hospital, Shanghai JiaoTong University Medical College, No. 1630, Dong Fang Rd, 200127, Shanghai, People's Republic of China aut Jin ShuXuan Department of Cardiology, RenJi Hospital, Shanghai JiaoTong University Medical College, No. 1630, Dong Fang Rd, 200127, Shanghai, People's Republic of China aut Bu Jun Department of Cardiology, RenJi Hospital, Shanghai JiaoTong University Medical College, No. 1630, Dong Fang Rd, 200127, Shanghai, People's Republic of China aut He Ben Department of Cardiology, RenJi Hospital, Shanghai JiaoTong University Medical College, No. 1630, Dong Fang Rd, 200127, Shanghai, People's Republic of China aut Cell Biochemistry and Biophysics Humana Press Inc 57/2-3(2010-07-01), 59-65 1085-9195 57:2-3<59 2010 57 12013 https://doi.org/10.1007/s12013-010-9083-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12013-010-9083-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Shen JieYan Department of Cardiology, RenJi Hospital, Shanghai JiaoTong University Medical College, No. 1630, Dong Fang Rd, 200127, Shanghai, People's Republic of China aut NATIONALLICENCE 700 1- Du YongPing Department of Cardiology, RenJi Hospital, Shanghai JiaoTong University Medical College, No. 1630, Dong Fang Rd, 200127, Shanghai, People's Republic of China aut NATIONALLICENCE 700 1- Song Wei Department of Cardiology, RenJi Hospital, Shanghai JiaoTong University Medical College, No. 1630, Dong Fang Rd, 200127, Shanghai, People's Republic of China aut NATIONALLICENCE 700 1- Liu JianPing Department of Cardiology, RenJi Hospital, Shanghai JiaoTong University Medical College, No. 1630, Dong Fang Rd, 200127, Shanghai, People's Republic of China aut NATIONALLICENCE 700 1- Jin ShuXuan Department of Cardiology, RenJi Hospital, Shanghai JiaoTong University Medical College, No. 1630, Dong Fang Rd, 200127, Shanghai, People's Republic of China aut NATIONALLICENCE 700 1- Bu Jun Department of Cardiology, RenJi Hospital, Shanghai JiaoTong University Medical College, No. 1630, Dong Fang Rd, 200127, Shanghai, People's Republic of China aut NATIONALLICENCE 700 1- He Ben Department of Cardiology, RenJi Hospital, Shanghai JiaoTong University Medical College, No. 1630, Dong Fang Rd, 200127, Shanghai, People's Republic of China aut NATIONALLICENCE 773 0- Cell Biochemistry and Biophysics Humana Press Inc 57/2-3(2010-07-01), 59-65 1085-9195 57:2-3<59 2010 57 12013 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer