Document Detail


PTCA in elderly patients: hospital events.
MedLine Citation:
PMID:  8358467     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Medical treatment of the elderly is changing to include the aggressive management of coronary artery disease with percutaneous transluminal coronary angioplasty. OBJECTIVE: The purpose of this study was to review major hospital events of patients aged 70 years or more, who underwent a first percutaneous transluminal coronary angioplasty. METHODS: A retrospective medical record review was done of 246 consecutive patients of 70 years or more, from January 1985 to December 1988, at a tertiary care community hospital. Adverse events and the factors that influenced outcome were identified. RESULTS: Of 246 patients (age range, 70-85 years, mean = 73.6), 19 died, 4 had a cerebral vascular accident, 11 had a transfusion and 11 underwent coronary artery bypass grafting. Sixteen patients had acute vessel closure and 8 died. Twenty-five patients had one event and 21 patients had more than one. DISCUSSION: The event rate after percutaneous transluminal coronary angioplasty in the elderly is high. CONCLUSIONS: Knowledge of the factors that influence adverse events (diagnostic category, success of procedure, degree of coronary artery disease and age) will assist the critical care team to plan and implement appropriate care.
Authors:
M A McGrath; G I Peet; J G Franke; R R Mildenberger; J E Morch; G W Mackenzie
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of critical care : an official publication, American Association of Critical-Care Nurses     Volume:  2     ISSN:  1062-3264     ISO Abbreviation:  Am. J. Crit. Care     Publication Date:  1993 Mar 
Date Detail:
Created Date:  1993-09-30     Completed Date:  1993-09-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9211547     Medline TA:  Am J Crit Care     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  171-6     Citation Subset:  IM; N    
Affiliation:
Royal Jubilee Hospital, Greater Victoria Hospital Society, British Columbia, Canada.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Aged, 80 and over
Angioplasty, Transluminal, Percutaneous Coronary / adverse effects*,  mortality,  nursing
Blood Transfusion / statistics & numerical data
Cause of Death
Cerebrovascular Disorders / epidemiology*,  etiology,  mortality
Coronary Artery Bypass / statistics & numerical data
Coronary Disease / classification,  diagnosis,  therapy*
Critical Care
Female
Hospital Mortality
Humans
Male
Myocardial Infarction / epidemiology*,  etiology,  mortality
Patient Care Planning
Patient Care Team
Recurrence
Retrospective Studies
Risk Factors
Severity of Illness Index
Survival Rate
Treatment Outcome

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


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