Clinical outcome and quality of life of octogenarian patients following percutaneous coronary intervention or surgical coronary revascularization.
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.


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.
Kamiya
Masataka
M
First Department of Internal Medicine, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, USA.
Takayama
Morimasa
M
Takano
Hitoshi
H
Murai
Koji
K
Hinokiyama
Kazuhiro
K
Ochi
Masami
M
Takano
Teruo
T
D000369:Aged, 80 and over; D000800:Angioplasty, Balloon / Q000009:adverse effects; D001026:Coronary Artery Bypass / Q000009:adverse effects; D003327:Coronary Disease / Q000401:mortality / Q000628:therapy*; D018572:Disease-Free Survival; D005260:Female; D005500:Follow-Up Studies; D006299:Health Services for the Aged; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D011788:Quality of Life; D012189:Retrospective Studies; D015996:Survival Rate