Elderly Asian Patients Have Lower Revascularisation Rates and Poorer Outcomes for ST-Elevation Myocardial Infarction Compared to Younger Patients.
| Title: | Elderly Asian Patients Have Lower Revascularisation Rates and Poorer Outcomes for ST-Elevation Myocardial Infarction Compared to Younger Patients. |
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| Authors: | Cai JX; Department of Cardiology, National Heart Centre Singapore, Singapore.; Yap J; Gao F; Koh TH; Tong KL; Ong HY; Kojodjojo P; Tan HC; Ong ME; Foo D; Ee B; Low LP; Chui P; Yeo KK |
| Source: | Annals of the Academy of Medicine, Singapore [Ann Acad Med Singap] 2020 Jan; Vol. 49 (1), pp. 3-14. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Academy Of Medicine, Singapore Country of Publication: Singapore NLM ID: 7503289 Publication Model: Print Cited Medium: Internet ISSN: 2972-4066 (Electronic) Linking ISSN: 03044602 NLM ISO Abbreviation: Ann Acad Med Singap Subsets: MEDLINE |
| Imprint Name(s): | Publication: Singapore : Academy Of Medicine, Singapore; Original Publication: Singapore. |
| MeSH Terms: | ST Elevation Myocardial Infarction*/therapy ; Percutaneous Coronary Intervention*; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Female ; Hospital Mortality ; Humans ; Male ; Middle Aged ; Registries ; Retrospective Studies ; Risk Factors ; Singapore ; Treatment Outcome |
| Abstract: | Introduction: There is limited information on elderly patients presenting with ST- elevation myocardial infarction (STEMI). This study aimed to study the outcomes of elderly Asian patients with STEMI compared to younger patients.; Materials and Methods: The study utilised data from 2007 to 2012 from the Singapore Myocardial Infarction Registry, a mandatory national population-based registry. Elderly patients were defined as ≥80 years of age, middle-aged to old (MAO) patients were defined as 45-80 years of age and young patients were defined as ≤45 years of age. The primary outcome of the study was 1-year mortality and secondary outcomes included in-hospital complications and mortality.; Results: There were 12,409 STEMI patients with 1207 (9.7%) elderly patients, 10,093 (81.3%) MAO patients and 1109 (8.9%) young patients. Elderly patients had more cardiovascular risk factors and lower rates of total percutaneous coronary intervention (26.0% vs 72.4% vs 85.5%, respectively; P |
| Entry Date(s): | Date Created: 20200323 Date Completed: 20200324 Latest Revision: 20200825 |
| Update Code: | 20260130 |
| PMID: | 32200392 |
| Database: | MEDLINE |
Journal Article