Cargando…

Evaluation of early interventional treatment opportunity of the elderly & high-risk patients with non-ST segment elevation acute myocardial infarction

OBJECTIVE: To investigate the effect of treatment on prognosis of patients with different timing of early interventional treatment for non-ST segment elevation acute myocardial infarction (NSTEMI). METHODS: Forty two cases above 75 years old, diagnosed with high-risk on NSTEMI, were selected in card...

Descripción completa

Detalles Bibliográficos
Autores principales: Liu, Zhiqiang, Zhao, Lipei, Li, Yibo, Wang, Zhifang, Liu, Lingling, Zhang, Fucheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Professional Medical Publications 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4641254/
https://www.ncbi.nlm.nih.gov/pubmed/26648985
http://dx.doi.org/10.12669/pjms.315.7881
_version_ 1782400168290680832
author Liu, Zhiqiang
Zhao, Lipei
Li, Yibo
Wang, Zhifang
Liu, Lingling
Zhang, Fucheng
author_facet Liu, Zhiqiang
Zhao, Lipei
Li, Yibo
Wang, Zhifang
Liu, Lingling
Zhang, Fucheng
author_sort Liu, Zhiqiang
collection PubMed
description OBJECTIVE: To investigate the effect of treatment on prognosis of patients with different timing of early interventional treatment for non-ST segment elevation acute myocardial infarction (NSTEMI). METHODS: Forty two cases above 75 years old, diagnosed with high-risk on NSTEMI, were selected in cardiology department of Xinxiang central hospital. They were randomly divided into two groups: 22 in group A and 20 in group B. Group A was performed PCI surgery within 12 hours after the onset while group B from 12 to 24 hour after the onset. Major adverse cardiovascular events (including death, heart failure readmission rates after ischemia, malignant arrhythmias, again target vessel revascularization) and bleeding data were recorded at the three terms of hospitalization, one month after the onset and six months after the onset. RESULTS: Angina, malignant arrhythmia and heart failure during hospitalization can be reduced after interventional treatment carried out within 12 hours after the onset. Readmission rates after ischemia, heart failure and the incidence of death can be significantly reduced after interventional treatment carried out during 1-6 month after the onset with no significant increase in bleeding rate. CONCLUSION: In the treatment of elderly patients with NSTEMI, early interventional treatment is safe and effective.
format Online
Article
Text
id pubmed-4641254
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Professional Medical Publications
record_format MEDLINE/PubMed
spelling pubmed-46412542015-12-08 Evaluation of early interventional treatment opportunity of the elderly & high-risk patients with non-ST segment elevation acute myocardial infarction Liu, Zhiqiang Zhao, Lipei Li, Yibo Wang, Zhifang Liu, Lingling Zhang, Fucheng Pak J Med Sci Original Article OBJECTIVE: To investigate the effect of treatment on prognosis of patients with different timing of early interventional treatment for non-ST segment elevation acute myocardial infarction (NSTEMI). METHODS: Forty two cases above 75 years old, diagnosed with high-risk on NSTEMI, were selected in cardiology department of Xinxiang central hospital. They were randomly divided into two groups: 22 in group A and 20 in group B. Group A was performed PCI surgery within 12 hours after the onset while group B from 12 to 24 hour after the onset. Major adverse cardiovascular events (including death, heart failure readmission rates after ischemia, malignant arrhythmias, again target vessel revascularization) and bleeding data were recorded at the three terms of hospitalization, one month after the onset and six months after the onset. RESULTS: Angina, malignant arrhythmia and heart failure during hospitalization can be reduced after interventional treatment carried out within 12 hours after the onset. Readmission rates after ischemia, heart failure and the incidence of death can be significantly reduced after interventional treatment carried out during 1-6 month after the onset with no significant increase in bleeding rate. CONCLUSION: In the treatment of elderly patients with NSTEMI, early interventional treatment is safe and effective. Professional Medical Publications 2015 /pmc/articles/PMC4641254/ /pubmed/26648985 http://dx.doi.org/10.12669/pjms.315.7881 Text en Copyright: © Pakistan Journal of Medical Sciences http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Liu, Zhiqiang
Zhao, Lipei
Li, Yibo
Wang, Zhifang
Liu, Lingling
Zhang, Fucheng
Evaluation of early interventional treatment opportunity of the elderly & high-risk patients with non-ST segment elevation acute myocardial infarction
title Evaluation of early interventional treatment opportunity of the elderly & high-risk patients with non-ST segment elevation acute myocardial infarction
title_full Evaluation of early interventional treatment opportunity of the elderly & high-risk patients with non-ST segment elevation acute myocardial infarction
title_fullStr Evaluation of early interventional treatment opportunity of the elderly & high-risk patients with non-ST segment elevation acute myocardial infarction
title_full_unstemmed Evaluation of early interventional treatment opportunity of the elderly & high-risk patients with non-ST segment elevation acute myocardial infarction
title_short Evaluation of early interventional treatment opportunity of the elderly & high-risk patients with non-ST segment elevation acute myocardial infarction
title_sort evaluation of early interventional treatment opportunity of the elderly & high-risk patients with non-st segment elevation acute myocardial infarction
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4641254/
https://www.ncbi.nlm.nih.gov/pubmed/26648985
http://dx.doi.org/10.12669/pjms.315.7881
work_keys_str_mv AT liuzhiqiang evaluationofearlyinterventionaltreatmentopportunityoftheelderlyhighriskpatientswithnonstsegmentelevationacutemyocardialinfarction
AT zhaolipei evaluationofearlyinterventionaltreatmentopportunityoftheelderlyhighriskpatientswithnonstsegmentelevationacutemyocardialinfarction
AT liyibo evaluationofearlyinterventionaltreatmentopportunityoftheelderlyhighriskpatientswithnonstsegmentelevationacutemyocardialinfarction
AT wangzhifang evaluationofearlyinterventionaltreatmentopportunityoftheelderlyhighriskpatientswithnonstsegmentelevationacutemyocardialinfarction
AT liulingling evaluationofearlyinterventionaltreatmentopportunityoftheelderlyhighriskpatientswithnonstsegmentelevationacutemyocardialinfarction
AT zhangfucheng evaluationofearlyinterventionaltreatmentopportunityoftheelderlyhighriskpatientswithnonstsegmentelevationacutemyocardialinfarction