Immediate results of percutaneous transluminal angioplasty in patients above 70 years
Keywords:
percutaneous transluminal, coronary angioplasty, cardiovascular problems, ischemic heart disease, coronary artery bypass graftAbstract
Background: Even in older patients, percutaneous transluminal coronary angioplasty (PTCA) is becoming a more widely acknowledged technique for revascularization. Because to its less intrusive nature, PTCA is a desirable option to coronary bypass surgery in this age category due to the increased frequency of postoperative mortality and treatment problems in older patients. Objective: Analyze the immediate and ongoing therapeutic efficacy of PTCA in individuals above 70 years. Methods: In the Hayatabad Medical Complex hospital in Peshawar, 6830 patients had PCI between April 2021 and August 2022. Throughout the trial period, interventions were performed on 102 male patients who were above 70 years. Results: Among the 102 patients, Thirty-two patients (31.37% of the total) had left ventricular ejection fraction (LVEF) lower than 40%. One hundred percent of patients with single vessel disease (SVD), 94 % and 72 % of participants with double vessel disease and triple vessel disease (TVD), respectively had successful procedures. The rate of major adverse cardiac event (MACE) in hospitals was 9/102 (8.82%). The 1-month MACE incidence was 10.78% (n=11) while the one-year MACE incidence was 17.64% (n=18), correspondingly.
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Gaziano, T. A., Bitton, A., Anand, S., Abrahams-Gessel, S., & Murphy, A. (2010). Growing epidemic of coronary heart disease in low-and middle-income countries. Current problems in cardiology, 35(2), 72-115.
Moran, A. E., Roth, G. A., Narula, J., & Mensah, G. A. (2014). 1990-2010 global cardiovascular disease atlas. Glob Heart, 9(1), 3-16.
Merz, A. A., & Cheng, S. (2016). Sex differences in cardiovascular ageing. Heart, 102(11), 825-831.
Gautam, N. C., Shrestha, S., Singh, Y. M., Pradhan, S., Sharma, J., Sharma, A., ... & Kathmandu, N. Surgery for Tetralogy of Fallot: Our Experience.
Allen, K., Cheng, D., Cohn, W., Connolly, M., Edgerton, J., Falk, V., ... & Vitali, R. (2005). Endoscopic vascular harvest in coronary artery bypass grafting surgery: a consensus statement of the International Society of Minimally Invasive Cardiothoracic Surgery (ISMICS) 2005. Innovations, 1(2), 51-60.
Adlakha, S., Sheikh, M., Wu, J., Burket, M. W., Pandya, U., Colyer, W., ... & Cooper, C. J. (2010). Stent fracture in the coronary and peripheral arteries. Journal of interventional cardiology, 23(4), 411-419.
Schmidt, S. E., Madsen, L. H., Hansen, J., Zimmermann, H., Kelbæk, H., Winter, S., ... & Clemmensen, P. (2022). Coronary Artery Disease Detected by Low Frequency Heart Sounds. Cardiovascular engineering and technology, 13(6), 864-871.
Song, K. J., Taghavi, C. E., Lee, K. B., Song, J. H., & Eun, J. P. (2009). The efficacy of plate construct augmentation versus cage alone in anterior cervical fusion. Spine, 34(26), 2886-2892.
Best, P. J., Lennon, R., Ting, H. H., Bell, M. R., Rihal, C. S., Holmes, D. R., & Berger, P. B. (2002). The impact of renal insufficiency on clinical outcomes in patients undergoing percutaneous coronary interventions. Journal of the American College of Cardiology, 39(7), 1113-1119.
Freeman, R. V., O’Donnell, M., Share, D., Meengs, W. L., Kline-Rogers, E., Clark, V. L., & Blue Cross Blue Shield of Michigan Cardiovascular Consortium. (2002). Nephropathy requiring dialysis after percutaneous coronary intervention and the critical role of an adjusted contrast dose. The American journal of cardiology, 90(10), 1068-1073.
Khan, M. I., Khan, J. I., Ahmed, S. I., & Ali, S. (2019). The epidemiology of stroke in a developing country (Pakistan). Pakistan Journal of Neurological Sciences (PJNS), 13(3), 30-44.
Parish, S. J., Nappi, R. E., Krychman, M. L., Kellogg-Spadt, S., Simon, J. A., Goldstein, J. A., & Kingsberg, S. A. (2013). Impact of vulvovaginal health on postmenopausal women: a review of surveys on symptoms of vulvovaginal atrophy. International Journal of Women's Health, 437-447.
Barton, M., Grüntzig, J., Husmann, M., & Rösch, J. (2014). Balloon angioplasty–the legacy of Andreas Grüntzig, MD (1939–1985). Frontiers in cardiovascular medicine, 1, 15.
Athappan, G., & O'Murchu, B. (2017). Percutaneous transluminal coronary intervention: History, techniques, indications and complications. In Practical Interventional Cardiology (pp. 155-166). CRC Press.
Kozlov, K. L., & Bogachev, A. A. (2015). Coronary revascularization in the elderly with stable angina. Journal of Geriatric Cardiology: JGC, 12(5), 555.
Brener, S. J., Lytle, B. W., Casserly, I. P., Schneider, J. P., Topol, E. J., & Lauer, M. S. (2004). Propensity analysis of long-term survival after surgical or percutaneous revascularization in patients with multivessel coronary artery disease and high-risk features. Circulation, 109(19), 2290-2295.
Farooq, V., Van Klaveren, D., Steyerberg, E. W., Meliga, E., Vergouwe, Y., Chieffo, A., ... & Serruys, P. W. (2013). Anatomical and clinical characteristics to guide decision making between coronary artery bypass surgery and percutaneous coronary intervention for individual patients: development and validation of SYNTAX score II. The Lancet, 381(9867), 639-650.
Hussain, K. M. A., Sankari, A. H., Jain, A., Bargout, R., Chandra, H., & Denes, P. (2000). Results of stent supported percutaneous transluminal coronary angioplasty in octogenarians with coronary artery disease. The American Journal of Geriatric Cardiology, 9(4), 219-223.
Jeroudi, M. O., Kleiman, N. S., Minor, S. T., Hess, K. R., Lewis, J. M., Winters Jr, W. L., & Raizner, A. E. (1990). Percutaneous transluminal coronary angioplasty in octogenarians. Annals of internal medicine, 113(6), 423-428.
Imburgia, M., King, T. R., Soffer, A. D., Rich, M. W., Krone, R. J., & Salimi, A. (1989). Early results and long-term outcome of percutaneous transluminal coronary angioplasty in patients age 75 years or older. The American journal of cardiology, 63(15), 1127-1129.
Bell, M. R., Bailey, K. R., Reeder, G. S., Lapeyre III, A. C., & Holmes Jr, D. R. (1990). Prequtaneous transluminal angioplasty in patients with multivessel coronary disease: How important is complete revascularization for cardiac event-free survival?. Journal of the American College of Cardiology, 16(3), 553-562.
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