Publication
Impacto da Idade no Tratamento e Resultados Após Enfarte Agudo do Miocárdio em Particular nos Muito Idosos
| dc.contributor.author | Timóteo, AT | |
| dc.contributor.author | Ramos, R | |
| dc.contributor.author | Toste, A | |
| dc.contributor.author | Lousinha, A | |
| dc.contributor.author | Oliveira, JA | |
| dc.contributor.author | Ferreira, ML | |
| dc.contributor.author | Cruz Ferreira, R | |
| dc.date.accessioned | 2012-07-11T14:04:32Z | |
| dc.date.available | 2012-07-11T14:04:32Z | |
| dc.date.issued | 2011 | |
| dc.description.abstract | INTRODUCTION: The elderly population admitted for acute myocardial infarction is increasing. This group is not well studied in international trials and is probably treated with a more conservative approach. OBJECTIVES: To evaluate the presentation and treatment of myocardial infarction according to age, particularly in very elderly patients. METHODS: We studied 1242 consecutive patients admitted with acute myocardial infarction, assessing in-hospital, 30-day and one-year mortality during follow-up for each age-group. Patients were divided into four groups according to age: <45 years (7.6%); 45-64 years (43.3%); 65-74 years (23.4%); and ≥75 years (25.7%). RESULTS: Elderly patients had a worse risk profile (except for smoking), more previous history of coronary disease and a worse profile on admission, with the exception of lipid profile, which was more favorable. With regard to treatment of the elderly, although less optimized than in other age-groups, it was significantly better compared to other registries, including for percutaneous coronary angioplasty. Both complications and mortality were worse in the older groups. In elderly patients (≥75 years), adjusted risk of mortality was 4.9-6.3 times higher (p<0.001) than patients in the reference age-group (45-64 years). In these patients, the independent predictors of death were left ventricular function and renal function, use of beta-blockers being a predictor of survival. CONCLUSIONS: Elderly patients represent a substantial proportion of the population admitted with myocardial infarction, and receive less evidenced-based therapy. Age is an independent predictor of short- and medium-term mortality. | por |
| dc.identifier.citation | Rev Port Cardiol. 2011 Dec;30(12):897-903 | por |
| dc.identifier.uri | http://hdl.handle.net/10400.17/583 | |
| dc.language.iso | por | por |
| dc.peerreviewed | yes | por |
| dc.publisher | Sociedade Portuguesa de Cardiologia | por |
| dc.subject | Factores de Idade | por |
| dc.subject | Estudos de Follow-Up | por |
| dc.subject | Enfarte do Miocárdio | por |
| dc.subject | Estudos Retrospectivos | por |
| dc.subject | Resultado de Tratamento | por |
| dc.title | Impacto da Idade no Tratamento e Resultados Após Enfarte Agudo do Miocárdio em Particular nos Muito Idosos | por |
| dc.title.alternative | Impact of Age on Treatment and Outcomes After Acute Myocardial Infarction, Particularly in Very Elderly Patients | por |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 903 | por |
| oaire.citation.startPage | 897 | por |
| oaire.citation.title | Revista Portuguesa de Cardiologia | por |
| rcaap.rights | openAccess | por |
| rcaap.type | article | por |