文档介绍：Revascularization plex Patient Subsets: A Report from the and i2 Summit 2009
Modified from Robert A. Harrington’s ACC presentation
葛均波
复旦大学中山医院上海市心血管病研究所
Revascularization plex Patient Subsets
The very elderly (C. Grines)
Complex CAD and diabetes (V. Fuster)
Chronic kidney disease (N. Lepor)
Poor LV function (J. Bax)
plications and women (B. Ahmed)
Revascularization In The Very Elderly
Cindy L. Grines, ., .
William Beaumont Hospital
Royal Oak, Michigan, .
In-plications After PCI: Effect of Age
Bachelor, 2000;36:723
Complications* After Elective PCI in Octogenarians
Death
MI
Q-wave
Stroke
Death/MI/
CVA
Renal
failure
plications
Bachelor. 2000;36:723
* p < .001 for plications
*
*
*
*
*
*
TACTICS-TIMI 18: Elderly ACS Patients Benefit the Most From Early Invasive Strategy
Ann Intern Med 2004;141:186-195
AMI in the Elderly
Advanced age strongest determinant of early and late mortality
80% of all deaths are in patients > 60 years old
risk of intracranial bleeding
Minority receive lytic therapy (10% of patients > 65 years old)
< 75 yrs (n=2580)
75 yrs (n=452)
p < .001
p = .01
p < .001
p < .001
p < .001
p < .001
DeGeare. AJC 2000;86:30
PCI restored TIMI 3 flow in 92% of young, 85% of elderly (p=.001)
e of PAMI Patients Based on Age