title: Percutaneous transluminal coronary angioplasty for post-infarction angina in elderly patients.
abstract: To assess the short-term outcome of percutaneous coronary angioplasty (PTCA) for post-infarction angina in elderly patients, we have retrospectively evaluated the results of 88 procedures of PTCA (98 lesions attempted), performed for post-infarction angina (PIA), in 84 patients of > or = 65 years (elderly group), and compared the results obtained with those of 165 PTCAs (200 lesions attempted) in 161 patients of < 65 years old with PIA (young group). Angiographic success was obtained in 91 (93%) vs. 181 (91%) of lesions attempted in the groups, respectively. Complete revascularization was achieved in 54 (61%) patients treated in the elderly group vs. 106 (65%) in the young group. PTCA success was obtained in 78 (89%) procedures vs. 147 (89%) of both groups. No patients required emergency coronary surgery, two patients (2%) had a reinfarction in the elderly group vs. five patients (3%) in the young group, and two patients died (one in the elderly and one in the young group). In conclusion, PTCA for PIA in elderly patients provides a high clinical success rate with a low frequency of complications, similar to the results obtained in young patients.
authors.affiliation: Depto. Cardiopulmonar, Hospital Universitario San Carlos, Madrid, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Iñiguez
authors.forename: C
authors.initials: C
authors.lastname: Macaya
authors.forename: F
authors.initials: F
authors.lastname: Alfonso
authors.forename: R
authors.initials: R
authors.lastname: Hernandez
authors.forename: J
authors.initials: J
authors.lastname: Goicolea
authors.forename: J M
authors.initials: JM
authors.lastname: Ribera
authors.forename: P
authors.initials: P
authors.lastname: Zarco
mesh_terms: D000367:Age Factors; D000368:Aged; D000787:Angina Pectoris / Q000000981:diagnostic imaging / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000628:therapy*; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging / Q000628:therapy; D012008:Recurrence