Detailed Information

Cited 0 time in webofscience Cited 0 time in scopus
Metadata Downloads

Percutaneous Coronary Intervention for Acute Myocardial Infarction in Elderly Patients with Renal Dysfunction: Results from the Korea Acute Myocardial Infarction Registry

Authors
Lim, Sang YupBae, Eun HuiChoi, Joon SeokKim, Chang SeongMa, Seong KwonAhn, YoungkeunJeong, Myung HoKim, WeonWoo, Jong ShinKim, Young JoCho, Myeong ChanKim, Chong JinKim, Soo Wan
Issue Date
7월-2013
Publisher
KOREAN ACAD MEDICAL SCIENCES
Keywords
Acute Myocardial Infarction; Renal Dysfunction; Elderly; Percutaneous Coronary Intervention; Major Adverse Cardiac Event
Citation
JOURNAL OF KOREAN MEDICAL SCIENCE, v.28, no.7, pp.1027 - 1033
Indexed
SCIE
SCOPUS
KCI
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
Volume
28
Number
7
Start Page
1027
End Page
1033
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/102748
DOI
10.3346/jkms.2013.28.7.1027
ISSN
1011-8934
Abstract
This study aimed to evaluate the effects of percutaneous coronary intervention (PCI) on short-and long-term major adverse cardiac events (MACE) in elderly (>75 yr old) acute myocardial infarction (AMI) patients with renal dysfunction. As part of Korea AMI Registry (KAMIR), elderly patients with AMI and renal dysfunction (GFR<60 mL/min) received either medical (n=439) or PCI (n=1,019) therapy. Primary end point was in-hospital death. Secondary end point was MACE during a 1 month and 1 yr follow-up. PCI group showed a significantly lower incidence of in-hospital death (20.0% vs 14.3%, P=0.006). Short-term and long-term MACE rates were higher in medical therapy group (31.9% vs 19.0%; 57.7% vs 31.3%, P<0.001), and this difference was mainly attributed to cardiac death (29.3% vs 17.6%; 51.9% vs 25.0%, P<0.001). MACE-free survival time after adjustment was also higher in PCI group on short-term (hazard ratio, 0.67; confidence interval, 0.45-0.98; P=0.037) and long-term follow-up (hazard ratio, 0.61, confidence interval, 0.45-0.83; P=0.002). In elderly AMI patients with renal dysfunction, PCI therapy yields favorable in-hospital and short-term and long-term MACE-free survival.
Files in This Item
There are no files associated with this item.
Appears in
Collections
College of Medicine > Department of Medical Science > 1. Journal Articles

qrcode

Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.

Related Researcher

Researcher Lim, Sang Yeob photo

Lim, Sang Yeob
의과대학 (의학과)
Read more

Altmetrics

Total Views & Downloads

BROWSE