| PTCA in elderly patients: acute results and long-term follow-up. | |
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MedLine Citation:
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PMID: 8131765 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Acute results and long-term follow-up of percutaneous transluminal coronary angioplasty (PTCA) in 125 patients aged 75 to 90 years (79 men; 46 female; mean age 78 +/- 3 years), with mainly unstable angina (102 patients) are reported. Successful PTCA was achieved in 96 out of 108 patients (89%); occlusions could be reopened in eight out of 17 patients (47%). Thirty-eight procedures were multiple vessel or multiple lesion PTCA, so that the lesion-related success rate of PTCA was higher (91%). Major complications occurred in seven patients (5.6%) including one procedure-related death. In-hospital mortality was 3% and concerned exclusively patients with unstable angina and unsuccessful procedure. At a mean follow-up of 27 +/- 16 months (2 to 82 months) 13 additional patients had died: 10 from cardiovascular causes, three from cancer. In the meantime, three patients underwent non-fatal myocardial infarction and three elective bypass surgery; 26 patients had repeat PTCA. Eighty-seven of the 93 surviving patients with successful primary procedure and reintervention if necessary, were in anginal class I or II; only six were in class III. We conclude that the success rate of PTCA in elderly patients is comparable to that in younger patients, and that a successful procedure leads to continued relief of symptoms. |
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Authors:
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K Reynen; B Kunkel; K Bachmann; R Gansser; P Martus |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European heart journal Volume: 14 ISSN: 0195-668X ISO Abbreviation: Eur. Heart J. Publication Date: 1993 Dec |
Date Detail:
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Created Date: 1994-04-19 Completed Date: 1994-04-19 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8006263 Medline TA: Eur Heart J Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 1661-8 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine II, University of Erlangen-Nürnberg, Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Angina, Unstable / therapy Angioplasty, Transluminal, Percutaneous Coronary* / adverse effects, mortality Coronary Disease / mortality, therapy* Female Follow-Up Studies Humans Male Recurrence Survival Rate Treatment Outcome |
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