Caractéristiques et mortalité intrahospitalières des patients âgés, admis pour syndrome coronaire aigu avec sus décalage du segment ST et traités par angioplastie primaire dans un centre tertiaire en Algerie

Abstract

Actually, elderly patients are always admitted to the hospital for acute coronary syndrome with ST-segment elevation myocardial infarction (STEMI), and primary percutaneous coronary intervention (PPCI) is done in this setting. No specific recommendations were available for this population of octogenarians and nonagenarians because they were excluded from randomized trials. For these reasons, it is important to assess their clinical and prognostic characteristics. Our registry includes 1057 STEMI patients treated by PPCI, we analyzed data from 884 patients and divided them into 2 groups, the first one, aged more than 80 years (G1), and the second one below 80 years old(G2). We find more comorbidities and lower mal sex predominance in G1. Typical angina chest pain was the most common presentation symptom in both groups; however, atypical presentation was significantly more frequent in the elderly. Interestingly patients in G1 have lower ST regression than G2, despite this; intra-hospital mortality remains acceptable.