title: [Influence of age in short and long term prognostic of ischemic cardiogenic shock].
abstract: OBJECTIVE
  To compare the prognosis during hospitalization and maximum follow-up of 4 years in patients with myocardial infarction complicated with cardiogenic shock.
  
  
  METHODS
  Prospective observational study practiced in a coronary Care Unit managed by cardiologists. We included patients with myocardial infarction complicated with cardiogenic shock who received early coronary revascularization. Patients were divided into two groups: older than 75 years (group A) and lower (group B), and we compared the evolution during hospitalization and maximum follow-up of 4 years. Primary end point was mortality rate in the maximum follow-up of 4years. Secondary end point was mortality rate during hospitalization.
  
  
  RESULTS
  Ninety-seven patients were included, 45% Group A. Patients of Group B were mostly men (81% vs. 57%; P=.014), diabetics (48% vs. 21%; P=0.006), and smokers (39.6% vs. 5%). Mortality rate during hospitalization was higher in Group A (54.5%) vs. 30.2% in Group B (P=.022). Mortality rate during follow-up (primary variable) was 73% in Group A vs. 38% in Group B (P=.007).
  
  
  CONCLUSIONS
  Myocardial infarction complicated with cardiogenic shock in elderly patients is an entity with high mortality during hospitalization and continues to worsen during long term follow-up.
authors.affiliation: Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España. Electronic address: vmhidalgo@ono.com.
authors.forename: Víctor M
authors.initials: VM
authors.lastname: Hidalgo-Olivares
authors.affiliation: Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España.
authors.forename: Juan Gabriel
authors.initials: JG
authors.lastname: Córdoba-Soriano
authors.affiliation: Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España.
authors.forename: Isabel
authors.initials: I
authors.lastname: López-Neira
authors.affiliation: Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España.
authors.forename: Manuel
authors.initials: M
authors.lastname: Fernández-Anguita
authors.affiliation: Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España.
authors.forename: Cristina
authors.initials: C
authors.lastname: Llanos-Guerrero
authors.affiliation: Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España.
authors.forename: Francisco
authors.initials: F
authors.lastname: Salmerón-Martínez
authors.affiliation: Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España.
authors.forename: Esther
authors.initials: E
authors.lastname: Cambronero-Cortinas
authors.affiliation: Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España.
authors.forename: Carlos
authors.initials: C
authors.lastname: Lafuente-Gormaz
authors.affiliation: Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España.
authors.forename: Antonia
authors.initials: A
authors.lastname: Tercero-Martínez
authors.affiliation: Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España.
authors.forename: Miguel
authors.initials: M
authors.lastname: Corbí-Pascual
authors.affiliation: Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España.
authors.forename: Jesús
authors.initials: J
authors.lastname: Jiménez-Mazuecos
authors.affiliation: Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España.
authors.forename: Antonio
authors.initials: A
authors.lastname: Gutiérrez-Díez
authors.affiliation: Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España.
authors.forename: Alfonso
authors.initials: A
authors.lastname: Valle-Muñoz
mesh_terms: D000367:Age Factors; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000150:complications / Q000401:mortality*; D011379:Prognosis; D011446:Prospective Studies; D012770:Shock, Cardiogenic / Q000209:etiology / Q000401:mortality*; D015996:Survival Rate; D013997:Time Factors
keywords: Age; Cardiogenic shock; Choque cardiogénico; Coronary revascularization; Edad; España; Long term mortality; Pronóstico a largo plazo; Revascularización coronaria; Spain