Prashanth Kumar Malkiwodeyar1, Durgaprasad Kabade2, Narendra Hiregoudar3, Ishwar Hasabi4, Shivappa Anurshettar5
BACKGROUND
There is a paucity of data among octogenarians undergoing coronary interventions in India. These patients have generally been excluded from randomised trials. As a result, there are no evidence-based guidelines regarding PCI in very elderly.
The aim of this study is to describe the epidemiology, clinical characteristics, management and the outcomes of patients over the age of 80 years who were undergoing coronary interventions.
MATERIALS AND METHODS
We evaluated the outcomes of all patients over the age of 80 years admitted in KIMS, Hubli, during the year 2015-16 undergoing coronary interventions including coronary angiography and Percutaneous Coronary Interventions (PCI).
RESULTS
We identified 36 octogenarians (67% men, 33% women; Mean Age of 84.2 ± SD 3.6 years). 52.3 percent of patients presented with an acute coronary syndrome treated either with thrombolysis or medical stabilisation followed by coronary angiography. One patient in the study was taken for primary Percutaneous Coronary Interventions (PCI). Mean duration of hospitalisation was 6.69 ± 6.8 days. Overall, the frequency of in-hospital death was n=2 (5.5%) and both the patients died while awaiting CABG.
CONCLUSION
Our study shows that coronary interventions are safe and effective and are not associated with any major complications, which are specific to this subset. Thus, advanced age should not be considered a contraindication for coronary interventions when clear indications are present.
KEYWORDS
Coronary, Intervention, Angiography, Angioplasty, Octogenarians.
