Percutaneous transluminal coronary angioplasty in the elderly: Epidemiology, clinical risk factors, and in-hospital outcomes☆,☆☆,★
Section snippets
Methods
The Northern New England Cardiovascular Disease Study Group is a voluntary research consortium of clinicians, research scientists, and hospital administrators associated with the 5 sole regional providers of CABG and PTCA in Maine, New Hampshire, and Vermont, and 1 institution in Massachusetts with similar services. The group’s mission is “...to provide accurate and timely information concerning the management of cardiovascular disease.” Since 1987, this group has met 3 times per year and
Results
Table I shows the characteristics of the PTCA population stratified by age.
Characteristics Age (y) Missing (%) <60 60 to 69 70 to 79 ≥80 Patients n (%) (n = 12,172) 5217 (42.9) 3752 (30.8) 2696 (22.1) 507 (4.2) Mean age (y) 50.0 64.5 73.7 82.6 Female (%)† 22.5 33.4 45.9 56.9 0.18 Cardiac risk factors (%) Hypertension† 44.3 54.6 59.4 60.3 1.73 Treated diabetes† 16.9 24.4 24.3 26.3 1.51 Hypercholesterolemia† 63.1 56.6 47.7 33.3 9.57 Family Hx
Discussion
For patients undergoing angioplasty, advancing age brings striking changes in patient and disease characteristics. Older patients in our cohort were more likely to be women and have a lower prevalence of smoking and family history of premature coronary artery disease. These changes largely reflect the demographics found in the population at large. Women are more likely to survive into their eighth decade than men and the sex-specific prevalence of coronary artery disease is nearly equal after
References (28)
- et al.
Coronary angioplasty in patients eighty years of age and older
Am Heart J
(1992) - et al.
Percutaneous transluminal coronary angioplasty in octogenarians
Am J Cardiol
(1988) - et al.
Percutaneous transluminal coronary angioplasty in patients 80 years of age and older
Am J Cardiol
(1990) - et al.
Results of percutaneous transluminal coronary angioplasty in patients ≥65 years of age (from the 1985 to 1986 National Heart, Lung and Blood Institute’s coronary angioplasty registry)
Am J Cardiol
(1990) - et al.
Coronary artery bypass surgery in patients aged 80 years and older
Am J Cardiol
(1987) - et al.
Value of visual versus central quantitative measurements of angiographic success after percutaneous transluminal coronary angioplasty
Am J Cardiol
(1996) Projections of the United States, by age, sex, race, and Hispanic origin: 1992 to 2050
- et al.
Changing outcome of angioplasty in the elderly
J Am Coll Cardiol
(1996) - et al.
Percutaneous transluminal coronary angioplasty in patients 70 years of age or older: 12 years’ experience
Br Heart J
(1995) - et al.
Immediate and long term results of percutaneous coronary angioplasty in patients aged 70 and over
Br Heart J
(1992)
PTCA in the elderly: the “young-old” versus the “old-old.”
J Am Geriatr Soc
Percutaneous transluminal coronary angioplasty in octogenarians
Ann Intern Med
A regional intervention to improve the hospital mortality associated with coronary artery bypass graft surgery
JAMA
Differences in outcomes between women and men associated with percutaneous transluminal coronary angioplasty
Circulation
Cited by (0)
- ☆
Supported in part by a grant from the Agency for Health Care Policy and Research, Washington, DC (HSO 6812).
- ☆☆
Reprint requests: David E. Wennberg, MD, MPH, Division of Health Services Research, Department of Medicine, Maine Medical Center, 22 Bramhall St, Portland, ME 04102.E-mail: [email protected]
- ★
0002-8703/99/$8.00 + 0 4/1/93035