An evaluation of octogenarians undergoing percutaneous coronary intervention from the Melbourne Interventional Group registry

B P Yan, Ronen Gurvitch, Stephen J Duffy, David J Clark, M Sebastian, Gishel New, Roderick Warren, Jeffery Lefkovits, R Lew, Angela Leone Brennan, Christopher Michael Reid, Nick Andrianopoulos, Andrew Edward Ajani

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Abstract

OBJECTIVES: The objective of this study was to evaluate the clinical characteristics and outcomes of octogenarians (> or =80 years of age) in a contemporary, multi-centre percutaneous coronary intervention (PCI) registry. BACKGROUND: Octogenarians are increasingly referred for PCI. This patient population frequently has significant comorbidities, which result in major therapeutic challenges. METHODS: The study population consisted of consecutive patients undergoing PCI in seven major Australian hospitals, who were treated over a 2-year period (2004-2005). RESULTS: Of 4,360 PCI s, 11.3 (n = 491) were performed in octogenarians and 88.7 (n = 3,869) in patients or =80 years were independent predictors of 12-month mortality. CONCLUSIONS: Octogenarians comprise a significant cohort of patients undergoing PCI. Octogenarians have more comorbidities, and higher rates of mortality and MACE, mandating thorough clinical evaluation before acceptance for PCI.
Original languageEnglish
Pages (from-to)928 - 936
Number of pages9
JournalCatheterization and Cardiovascular Interventions
Volume70
Issue number7
Publication statusPublished - 2007

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