A retrospective study of an invasive versus conservative strategy in patients aged ≥80 years with acute ST-segment elevation myocardial infarction
| العنوان: | A retrospective study of an invasive versus conservative strategy in patients aged ≥80 years with acute ST-segment elevation myocardial infarction |
|---|---|
| المؤلفون: | Si-Yong Teng, Yong-Gang Sui, Shubin Qiao, Yi-Da Tang, Yongjian Wu, Kefei Dou, Jie Qian, Yuan Wu |
| المصدر: | Journal of International Medical Research, Vol 47 (2019) The Journal of International Medical Research |
| بيانات النشر: | SAGE Publications, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Medicine (General), medicine.medical_specialty, Invasive strategy, Clinical Research Reports, Acute ST segment elevation myocardial infarction, conservative strategy, 030204 cardiovascular system & hematology, Conservative Treatment, Biochemistry, 03 medical and health sciences, R5-920, 0302 clinical medicine, Older patients, Internal medicine, Humans, Medicine, In patient, invasive strategy, Hospital Mortality, cardiovascular diseases, 030212 general & internal medicine, Myocardial infarction, Retrospective Studies, Aged, 80 and over, business.industry, Biochemistry (medical), Retrospective cohort study, Cell Biology, General Medicine, Prognosis, medicine.disease, older patients, Conservative strategy, ST-segment elevation myocardial infarction, Logistic Models, Multivariate Analysis, Cardiology, ST Elevation Myocardial Infarction, business, Cohort study |
| الوصف: | Objective To investigate what is the most appropriate strategy for patients with ST-segment elevation myocardial infarction (STEMI) aged ≥80 years in China. Methods This cohort study retrospectively enrolled patients with STEMI aged ≥80 years old and grouped them according to the treatment strategy that was used: a conservative treatment strategy or an invasive treatment strategy. Factors associated with whether to perform an invasive intervention, in-hospital death and a good prognosis were investigated using logistic regression analyses. Results A total of 232 patients were enrolled: conservative treatment group ( n = 93) and invasive treatment group ( n = 139). Patients in the invasive treatment group had a better prognosis and lower incidence of adverse events compared with the conservative treatment group. Advanced age, creatinine level and a higher Killip class were inversely correlated with whether to perform an invasive intervention, while the use of beta-receptor-blocking agents was a favourable factor for invasive treatment. Hypertension and a higher Killip class were risk factors for in-hospital death, while the use of beta-receptor-blocking agents and diuretics decreased the risk of in-hospital death. Conclusions An invasive treatment strategy was superior to a conservative treatment strategy in patients with STEMI aged ≥80 years. |
| تدمد: | 1473-2300 0300-0605 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b5e3db2fde57e0d110c1426394d056e5 https://doi.org/10.1177/0300060519860969 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....b5e3db2fde57e0d110c1426394d056e5 |
| قاعدة البيانات: | OpenAIRE |
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