Document Detail


Clinical outcome and quality of life of octogenarian patients following percutaneous coronary intervention or surgical coronary revascularization.
MedLine Citation:
PMID:  17526979     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Thus far, the outcome and effect of percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) surgery on the quality of life of octogenarian patients has not been accurately assessed in Japan. METHODS AND RESULTS: A retrospective analysis of the outcome of invasive coronary revascularization in 130 elderly patients (age, > or =80 years) with ischemic coronary disease was carried out. Their current quality of life was determined by the Seattle Angina Questionnaire. Although the in-hospital death rate was relatively high (21.6% after PCI and 14.3% after CABG surgery), the long-term outcome of the patients who did not die during the in-hospital period after the PCI/CABG surgery was acceptable (5-year survival rate, >60%). All domains of the questionnaire received a favorable score from a majority of the survivors, irrespective of the treatment they received. CONCLUSIONS: The quality of life and longevity of the octogenarian patients following extensive invasive revascularization for ischemic coronary artery disease were satisfactory.
Authors:
Masataka Kamiya; Morimasa Takayama; Hitoshi Takano; Koji Murai; Kazuhiro Hinokiyama; Masami Ochi; Teruo Takano
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Circulation journal : official journal of the Japanese Circulation Society     Volume:  71     ISSN:  1346-9843     ISO Abbreviation:  Circ. J.     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-05-28     Completed Date:  2007-12-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101137683     Medline TA:  Circ J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  847-54     Citation Subset:  IM    
Affiliation:
First Department of Internal Medicine, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Angioplasty, Balloon* / adverse effects
Coronary Artery Bypass* / adverse effects
Coronary Disease / mortality,  therapy*
Disease-Free Survival
Female
Follow-Up Studies
Health Services for the Aged
Hospital Mortality
Humans
Male
Quality of Life*
Retrospective Studies
Survival Rate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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