In-hospital outcomes and complications of percutaneous coronary interventions in STEMI in different age groups
Aim. To evaluate in-hospital outcomes of percutaneous coronary intervention for STEMI patients in different age groups. Materials and methods. 356 patients with STEMI who underwent PCI were enrolled in the study. According to the age, all patients were divided into 2 groups: "young" - at the age under 70 years; "non-young" - all patients at the age of 71 and over. In-hospital outcomes and clinical characteristics were analyzed. Results. In comparison with "young" group, patients over 71 years old demonstrate more high level of in-hospital mortality and hemorrhagic complications. "Non-young" patients present more severe condition, having myocardial and renal dysfunction, more likely to have recent hypertension and myocardial infarction. They are less likely to be tobacco smokers or have dyslipidemia. Conclusion. With increasing of age the patient’s condition in STEMI worsens: there is high level of in-hospital mortality. Despite of it, application of invasive reperfusion in STEMI shouldn’t be limited according to patient’s age. Primary PCI for them seems to be an effective and safe method of care in STEMI. The way to decrease the number of hemorragical complications in this group of patients requires next evaluation.