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  • Acute coronary syndromes in the elderly treated at the Maribor Teaching Hospital in 2002 and 2003 = Akutni koronarni sindromi pri starejših v Učni bolnišnici Maribor v letih 2002 in 2003
    Svenšek, Franc ; Sinkovič, Andreja ; Pehnec, Zlatko
    Background. Despite the higher incidence and risk of unfavorable outcome of acute coronary syndromes (ACS) in the elderly compared to younger patients, little evidence exists of their optimal ... treatment. Out aim was to make a retrospective comparison of their clinical characteristics upon admission, in-hospital treatments and mortality rates between older ([> or =] 65 years) and younger (< 65 years) patients with ACS who were admitted to our unit in 2002 and 2003. Patients and methods. Out of 633 patients with ACS in 2002 and 2003, 367 aged [> or =] 65 years (57.9 %) were also treated with i.v. thrombolysis or primary coronary intervention (PCI) in case of ACS with ST-segment elevation (STEMI). Results. In patients aged [> or =] 65 years compared to younger patients, aged < 65 years, with ACS, there was significantly less STEMI (46.6 %, p<0.05), less primary PCI (18.5 % vs. 28.9 %, p<0.05) and i.v. thrombolysis (6.8 % vs. 17.7 %, p<0.05) and less frequent chest pain lasting up to three hours (24.5 % vs. 38.7 %, p<0.05), but significantly more frequent non-Q myocardial infarction (28.3 % vs. 17.3 %, p<0.05), but significantly more frequent non-Q myocardial infarction (28.3 % vs. 17.3 %, p<0.05), heart failure of Killip classes II, III and IV upon admission (28.1 % vs. 15 %; 12.3 % vs. 3.8 %; 13.9 % vs. 4.9 %; p<0.05), medical treatment (54.5 % vs. 27.1 %, p<0.05) and also significantly increased in-hospital mortality (21.3 % vs. 4.9 %, p<0.05). Conclusions. 57.9 % of patients with ACS were aged [> or =] 65 years and had significantly less frequent STEMI, with significantly more frequent non-Q myocardial infarction and heart failure upon admission, as well as significantly increased in-hospital mortality compared to younger patients.
    Vir: Slovenska kardiologija : znanstveno strokovna revija za področje srčno-žilne medicine. - ISSN 1581-8543 (Vol. 2, no. 2, 2005, str. 118-121)
    Vrsta gradiva - članek, sestavni del ; neleposlovje za odrasle
    Leto - 2005
    Jezik - angleški
    COBISS.SI-ID - 2052415

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