Effectiveness of coronary angiography in the elderly
Keywords:
Octogenarian // Elderly, coronary angioplasty.Abstract
Introduction: all people older than 60 years are included in the group of the elderly, although it is recognized that this approach does not take into account: the degenerative processes, chronic clinical conditions, disabilities and dependence.Objective: to determine the efficacy and safety of coronary angiography and percutaneous coronary approach in the elderly.
Material and methods: A retrospective, descriptive study was conducted with 5715 patients. They underwent coronary angiography in the hemodynamic laboratory of the Cardiology Center referred from Pinar del Rio province during 2010 and 2013. The sample was comprised of 1933 patients over 60 years old. The information was obtained from the database ANGYCOR considering clinical and angiographic characteristics.
Results: the most frequent diagnosis was stable angina (43.5%). The average age of 60-70 years prevailed, mainly group 60-69 years, male patients (77.2%) and hypertension (64.9%); 7.8% of the patients had a previous revascularization. In 98.0% the behavior was successful. It is concluded that the rate of complications and mortality in coronary angiography of the elderly is low, with high success rate, so that appears to be an effective and safe procedure.
Conclusions: the rate of coronary angiography in patients older than 60 years is low. The study pointed out the presence of a multi-vessel disease and that major left coronary artery decreases as age increases. The frequency of complications along with mortality is null with high success rates.
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