Abstract 16661: Impact of Age on Procedural Success Rates and Inhospital Outcomes in Patients With PCI for Acute Myocardial Infarction Complicated by Cardiogenic Shock. Results of the Alkk-PCI-registry
Background: The use of early revascularization therapy with PCI has been shown to improve outcome in patients with acute myocardial infarction (AMI) complicated by cardiogenic shock (CS). We sought to determine the impact of age on procedural and clinical outcome in patients with CS.
Methods: Data from consecutive patients with AMI and CS treated with PCI enrolled into the prospective ALKK-PCI registry were centrally collected and analysed. We divided the patients into four groups according to their age.
Results: Between 2009 and 2014 a total of 2323 patients witgh AMI and CS were treated with PCI in 47 hospitals. The patient characteristics, procedural features and in-hospital outcomes in the 4 age groups are shown in the table.
Conclusion: PCI is patients with AMI and CS is associated with a high procedural success rate and a low bleeding rate , even in the very elderly patients, while mortality increases with increasing age. Since mortality in elderly with CS without revascularization therapy is over 80-90 % it seems justified to perform PCI in these patients to substantially reduce mortality
Author Disclosures: U. Zeymer: Speakers Bureau; Modest; Astra Zeneca, Boehringer Ingelheim, Bayer Healthcare, BMS, Daiichi Sankyo. M. Hochadel: None. R. Zahn: None.
- © 2016 by American Heart Association, Inc.