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Differences of patients’ perceptions for elective diagnostic coronary angiography and percutaneous coronary intervention in stable coronary artery disease between elderly and younger patients
AIMS: There is limited evidence of the differences in expectations between elderly (≥80 years) and younger patients (<80 years) regarding treatment success of percutaneous coronary interventions (PCI). We conducted a survey in patients undergoing diagnostic coronary angiography (DA) and/or interv...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6186896/ https://www.ncbi.nlm.nih.gov/pubmed/30349212 http://dx.doi.org/10.2147/CIA.S178129 |
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author | Rittger, Harald Frosch, Barbara Vitali-Serdoz, Laura Waliszewski, Matthias |
author_facet | Rittger, Harald Frosch, Barbara Vitali-Serdoz, Laura Waliszewski, Matthias |
author_sort | Rittger, Harald |
collection | PubMed |
description | AIMS: There is limited evidence of the differences in expectations between elderly (≥80 years) and younger patients (<80 years) regarding treatment success of percutaneous coronary interventions (PCI). We conducted a survey in patients undergoing diagnostic coronary angiography (DA) and/or intervention (PCI) to identify differences in patient perceptions between elderly and younger patients. METHODS AND RESULTS: This is an all-comers study of consecutive patients who underwent DA and/or PCI. Patients were asked to fill out a questionnaire prior to DA/PCI. This questionnaire consisted of ten questions with potential patient expectations based on an increasing scale of importance from 0 to 5 which were related to the procedure (eg, extend life, decrease symptoms etc.) and the value of “hard” cardiac endpoints like death, stroke, acute myocardial infarction and target lesion revascularization for the patient. Among 200 patients (mean age 76.6±9.3 years, 60.5% male, ejection fraction 63.7%±13.2%), 100 patients (50%) were ≥80 years. For these elderly patients the questions “to remain independent,” “to maintain mobility, so that I can maintain my current life,” and “to prevent myocardial infarction” were rated highest. Regarding “hard” cardiac endpoints “to avoid PCI in the future” was rated lowest in younger and in elderly patients. Significant differences were found between the age groups with the items “to avoid myocardial infarction,” “avoid heart insufficiency,” “to extend my life” and “to maintain mobility so that I can maintain my current life” (P<0.001). CONCLUSIONS: In our survey we found significant differences in patient expectations between elderly and younger patients regarding the outcome of DA/PCI. |
format | Online Article Text |
id | pubmed-6186896 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-61868962018-10-22 Differences of patients’ perceptions for elective diagnostic coronary angiography and percutaneous coronary intervention in stable coronary artery disease between elderly and younger patients Rittger, Harald Frosch, Barbara Vitali-Serdoz, Laura Waliszewski, Matthias Clin Interv Aging Original Research AIMS: There is limited evidence of the differences in expectations between elderly (≥80 years) and younger patients (<80 years) regarding treatment success of percutaneous coronary interventions (PCI). We conducted a survey in patients undergoing diagnostic coronary angiography (DA) and/or intervention (PCI) to identify differences in patient perceptions between elderly and younger patients. METHODS AND RESULTS: This is an all-comers study of consecutive patients who underwent DA and/or PCI. Patients were asked to fill out a questionnaire prior to DA/PCI. This questionnaire consisted of ten questions with potential patient expectations based on an increasing scale of importance from 0 to 5 which were related to the procedure (eg, extend life, decrease symptoms etc.) and the value of “hard” cardiac endpoints like death, stroke, acute myocardial infarction and target lesion revascularization for the patient. Among 200 patients (mean age 76.6±9.3 years, 60.5% male, ejection fraction 63.7%±13.2%), 100 patients (50%) were ≥80 years. For these elderly patients the questions “to remain independent,” “to maintain mobility, so that I can maintain my current life,” and “to prevent myocardial infarction” were rated highest. Regarding “hard” cardiac endpoints “to avoid PCI in the future” was rated lowest in younger and in elderly patients. Significant differences were found between the age groups with the items “to avoid myocardial infarction,” “avoid heart insufficiency,” “to extend my life” and “to maintain mobility so that I can maintain my current life” (P<0.001). CONCLUSIONS: In our survey we found significant differences in patient expectations between elderly and younger patients regarding the outcome of DA/PCI. Dove Medical Press 2018-10-10 /pmc/articles/PMC6186896/ /pubmed/30349212 http://dx.doi.org/10.2147/CIA.S178129 Text en © 2018 Rittger et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Rittger, Harald Frosch, Barbara Vitali-Serdoz, Laura Waliszewski, Matthias Differences of patients’ perceptions for elective diagnostic coronary angiography and percutaneous coronary intervention in stable coronary artery disease between elderly and younger patients |
title | Differences of patients’ perceptions for elective diagnostic coronary angiography and percutaneous coronary intervention in stable coronary artery disease between elderly and younger patients |
title_full | Differences of patients’ perceptions for elective diagnostic coronary angiography and percutaneous coronary intervention in stable coronary artery disease between elderly and younger patients |
title_fullStr | Differences of patients’ perceptions for elective diagnostic coronary angiography and percutaneous coronary intervention in stable coronary artery disease between elderly and younger patients |
title_full_unstemmed | Differences of patients’ perceptions for elective diagnostic coronary angiography and percutaneous coronary intervention in stable coronary artery disease between elderly and younger patients |
title_short | Differences of patients’ perceptions for elective diagnostic coronary angiography and percutaneous coronary intervention in stable coronary artery disease between elderly and younger patients |
title_sort | differences of patients’ perceptions for elective diagnostic coronary angiography and percutaneous coronary intervention in stable coronary artery disease between elderly and younger patients |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6186896/ https://www.ncbi.nlm.nih.gov/pubmed/30349212 http://dx.doi.org/10.2147/CIA.S178129 |
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