[Coronary revascularization in the geriatric patient].
In order to determine the current status of coronary revascularization in the elderly, we studied 102 patients aged 65 to 77 years (mean 68 years) who had surgery at the Instituto Nacional de Cardiología "Ignacio Chávez". Seventy eight (76.4%) were male and 24 (23.5%) female. The coronary risk factors were cigarette smoking, systemic arterial hypertension and familiar history of coronary heart disease. Fifty five patients (54%) had myocardial infarction prior to surgery and in 29 (28.4%) the time between the ischemic event and surgery was less than one year. Ninety Patients (88.2%) presented with unstable and 12 (11.7%) with stable angina. Ejection fraction was less than 40% en 32 patients (31%). Coronary angiograms showed one vessel disease in 5 cases (4.9%), two vessel involvement in 29 (28.4%), three vessel lesions in 56 (55.8%) and left main coronary artery in 12 (11.7%). The patients underwent a mean of 2.1 bypasses (range 1 to 4). Perioperative mortality was 10.7%. Actuarial survival and angina pectoris relapse were 80 and 24% respectively at 6 years follow-up. We conclude that old age does not rule-out surgery for coronary heart disease.
D000368:Aged; D000787:Angina Pectoris / Q000601:surgery; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D009203:Myocardial Infarction / Q000601:surgery; D011183:Postoperative Complications; D012307:Risk Factors; D012907:Smoking
Revascularización coronaria en el paciente geriátrico.