Effect of thrombus aspiration on postprocedural outcomes in elderly patients with acute ST-elevation myocardial ınfarction

2015 ◽  
Vol 16 (6) ◽  
pp. 722-728
Author(s):  
Ender Emre ◽  
Ertan Ural ◽  
Göksel Kahraman ◽  
Ulas Bildirici ◽  
Teoman Kilic ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Elderly Patients ◽  
St Elevation Myocardial Infarction ◽  
Thrombus Aspiration ◽  
St Elevation

scholarly journals Impact of Thrombus Aspiration on Clinical Outcomes in Korean Patients with ST Elevation Myocardial Infarction

2020 ◽  
Vol 56 (1) ◽  
pp. 36
Author(s):  
Seok-Woo Seong ◽  
Kye Taek Ahn ◽  
Mijoo Kim ◽  
Seon Ah Jin ◽  
Sang Yeub Lee ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Clinical Outcomes ◽  
St Elevation Myocardial Infarction ◽  
Thrombus Aspiration ◽  
Korean Patients ◽  
St Elevation

scholarly journals Elderly Asian Patients Have Lower Revascularisation Rates and Poorer Outcomes for ST-Elevation Myocardial Infarction Compared to Younger Patients

2020 ◽  
Vol 49 (1) ◽  
pp. 3-14
Author(s):  
James X Cai ◽  
Jonathan Yap ◽  
Fei Gao ◽  
Tian Hai Koh ◽  
Khim Leng Tong ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Percutaneous Coronary Intervention ◽  
Elderly Patients ◽  
Young Patients ◽  
Coronary Intervention ◽  
St Elevation Myocardial Infarction ◽  
Younger Patients ◽  
Asian Patients ◽  
Percutaneous Coronary ◽  
St Elevation

Introduction: There is limited information on elderly patients presenting with ST elevation myocardial infarction (STEMI). This study aimed to study the outcomes of elderly Asian patients with STEMI compared to younger patients. Materials and Methods: The study utilised data from 2007 to 2012 from the Singapore Myocardial Infarction Registry, a mandatory national population-based registry. Elderly patients were defined as ≥80 years of age, middle-aged to old (MAO) patients were defined as 45–80 years of age and young patients were defined as ≤45 years of age. The primary outcome of the study was 1-year mortality and secondary outcomes included in-hospital complications and mortality. Results: There were 12,409 STEMI patients with 1207 (9.7%) elderly patients, 10,093 (81.3%) MAO patients and 1109 (8.9%) young patients. Elderly patients had more cardiovascular risk factors and lower rates of total percutaneous coronary intervention (26.0% vs 72.4% vs 85.5%, respectively; P <0.0001) compared to MAO and young patients. They had higher 1-year mortality (60.6% vs 18.3% vs 4.1%, respectively; P <0.0001) when compared to MAO and young patients. Conclusion: Elderly patients with STEMI have poorer outcomes than MAO and young patients. This is potentially attributable to a myriad of factors including age, higher burden of comorbidities and a lesser likelihood of receiving revascularisation and guideline-recommended medical therapy. Keywords: Coronary artery bypass graft, Percutaneous coronary intervention

THROMBOLYTIC EFFICACY OF STREPTOKINASE IN ELDERLY TYPE 2 DIABETES MELLITUS WITH ACUTE ST ELEVATION MYOCARDIAL INFARCTION USING ELECTROCARDIOGRAPHIC ST-SEGMENT RESOLUTION

2021 ◽  
pp. 67-70
Author(s):  
Mahendra Pratap ◽  
Somil Verma ◽  
S. L. Mathur
Keyword(s):  
Myocardial Infarction ◽  
Elderly Patients ◽  
Thrombolytic Therapy ◽  
Care Center ◽  
Tertiary Care ◽  
St Elevation Myocardial Infarction ◽  
Diabetic Patients ◽  
Common Location ◽  
St Segment ◽  
St Elevation

Background: Age and diabetes are important prognostic factors in patients with acute ST-elevation myocardial infarction (STEMI) undergoing thrombolysis. In our study we compared the post-thrombolytic effect of streptokinase in elderly diabetic and non-diabetic patients. Methods: A prospective observational study was conducted in tertiary care center of India in which 140 elderly patients diagnosed with STEMI and undergoing thrombolytic therapy with streptokinase were enrolled after making necessary exclusions and were divided into diabetic (n=70) and non-diabetic (n=70) as study and control groups respectively. ECG was done immediately before and at 60 minutes after thrombolytic therapy. ST-segment resolution was measured and patients were classied as failed (<30%), partial (30-70%) and successful (>70%) resolution of STsegment. Results: Failed thrombolysis was evident in 34.3% non-diabetic and 57.1% diabetic patients (p=0.010). The incidence of successful thrombolysis was present in 41.4% non-diabetic and 28.6% diabetic patients, whereas partial thrombolysis was seen in 24.3% non-diabetic and 14.3% diabetics. Anterior wall was the most common location of infarction in elderly population but the proportion was higher in diabetics than non-diabetics (p=0.025). Conclusion: Failed thrombolysis with streptokinase was higher in diabetics than in non-diabetics after 60 minutes of streptokinase infusion in elderly patients warranting the need of using another cost effective and easily available agent for elderly diabetic population.

scholarly journals No clinical benefit from manual thrombus aspiration in patients with non-ST-elevation myocardial infarction

2016 ◽  
Vol 1 ◽  
pp. 32-40
Author(s):  
Zbigniew Siudak ◽  
Artur Dziewierz ◽  
Tomasz Rakowski ◽  
Tomasz Tokarek ◽  
Waldemar Mielecki ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Clinical Benefit ◽  
St Elevation Myocardial Infarction ◽  
Thrombus Aspiration ◽  
St Elevation

Diagnostic potential of circulating miR-499-5p in elderly patients with acute non ST-elevation myocardial infarction

2013 ◽  
Vol 167 (2) ◽  
pp. 531-536 ◽  
Author(s):  
Fabiola Olivieri ◽  
Roberto Antonicelli ◽  
Maria Lorenzi ◽  
Yuri D'Alessandra ◽  
Raffaella Lazzarini ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Elderly Patients ◽  
St Elevation Myocardial Infarction ◽  
Diagnostic Potential ◽  
St Elevation
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