Primary Percutaneous Coronary Intervention in the Very Elderly: A Realistic Intervention?

Ibanez B , James S , Agewall S . 2017 ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J 2017; 39: 119–177.

Antman EM , Anbe DT , Armstrong PW . ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction. Circulation 2004; 110: e82-e292.

National Institute for Clinical and Health Care Excellence. Acute coronary syndromes [Internet]. London: Nice. 18 November 2020 [Accessed 31 January 2021]. Available from: https://www.nice.org.uk/guidance/ng185/resources/acute-coronary-syndromes-pdf-66142023361477

Zijlstra F , de Boer M , Hoorntje J . A comparison of immediate coronary angioplasty with intravenous streptokinase in acute myocardial infarction. New Engl J Med 1993; 328: 680–84.

Bonnefoy E , Lapostolle F , Leizorovicz A . Primary angioplasty vs. prehospital fibrinolysis in acute myocardial infarction: a randomised study. Lancet 2002; 360: 825–29.

Andersen H , Nielsen T , Rasmussen K . A comparison of coronary angioplasty with fibrinolytic therapy in acute myocardial infarction. New Engl J Med 2003; 349: 733–42.

Rasania S , Baber U , Dangas G . Comparing PCI outcomes in the very elderly: does age matter? A report from outcomes of septuagenarians, octogenarians and nonagenarians after PCI. J Am Coll Cardiol 2017; 69:1100.

Bueno H , Betriu A , Heras M . Primary angioplasty vs. fibrinolysis in very old patients with acute myocardial infarction: TRIANA (Tratamiento del Infarto Agudo de miocardio eN Ancianos) randomized trial and pooled analysis with previous studies. Eur Heart J 2010; 32: 51–60.

Toleva O , Ibrahim Q , Brass N . Treatment choices in elderly patients with ST: elevation myocardial infarction - insights from the Vital Heart Response registry. Open Heart 2015; 2: e000235.

Alexander KP , Armstrong PW . Acute coronary care in the elderly, part II. Circulation 2007; 115: 2570–89.

Aubiniere-Robb L , Reid G , Murphy A . Primary percutaneous coronary intervention in patients aged 85 years or older: a retrospective analysis of outcomes. J R Coll Physicians Edinb 2021;51.

Shanmugasundaram M . Percutaneous coronary intervention in elderly patients: is it beneficial? Tex Heart Inst J 2011; 38: 398–403.

Gharacholou S , Lopes R , Alexander K . Age and outcomes in ST-segment elevation myocardial infarction treated with primary percutaneous coronary intervention: findings from the APEX-AMI trial. Arch Intern Med 2011; 171: 559–67.

Steele L , Palmer J , Lloyd A . Impact of socioeconomic status on survival following ST-elevation myocardial infarction in a universal healthcare system. Int J Cardiol 2019; 276: 26–30.

Sanchis J , Bonanad C , Ruiz V . Frailty and other geriatric conditions for risk stratification of older patients with acute coronary syndrome. Am Heart J 2014; 168: 784–91.