Abstract

COSTA, YANINA B. CASTILLO et al. Characteristics of Adultis Older Than 75 Years in the ARGEN-IAM-ST Registry. Rev. argent. cardiol. [online]. 2019, vol.87, n.1, pp.41-50. ISSN 1850-3748.

Background: Older adultis represent a growing population in clinical practice.

Objectives: The aim of this study was to learn the clinical characteristics and outcome of older adultis hospitalized with myo-cardial infarction in Argentina.

Methods: Patientis included in the ARGEN-IAM-ST registry were analyzed depending on whether they were older or younger than 75 years of age.

Resultis: Among the 1,714 patientis included in the registry, 233 (13.6%) were aged 75 years or older. These patientis had greater prevalence of female sex and hypertension and lower incidence of smoking habitis, while the prevalence of diabetes, dyslipidemia, anterior myocardial infarction and time from onset of symptoms was similar. They were less likely to receive reperfusion therapy and progression to heart failure (31% vs. 14%; p <0.01), reinfarction (3.9 vs. 1.4%; p=0.009), minor bleeding (7.7% vs. 3.2%; p <0.002) and mortality (21.5% vs. 6.7%, p <0.001) were more common.

Conclusions: Older adultis with myocardial infarction have a more unfavorable outcome and mortality is three times greater than that of patientis <75 years.

Keywords : Myocardial Infarction; Aged - Aged; 80 and over; Clinical Evolution; Registries Abreviaturas.

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