IMR Press / RCM / Volume 22 / Issue 2 / DOI: 10.31083/j.rcm2202054
Open Access Original Research
Long term prognostic benefit of complete revascularization in elderly presenting with NSTEMI: real world evidence
Show Less
1 Cardiology Department, Clinical University Hospital of Santiago de Compostela, 15706 Santiago de Compostela, Spain
2 Centro de Investigación Biomédica en Red Enfermedades Cardiovasculares (CIBERCV), 28029 Madrid, Spain
3 Cardiology Department, Clinical University Hospital San Juan, 00927 Alicante, Spain
Academic Editor: Peter A. McCullough This article belongs to the Special Issue: Acute Coronary Syndromes in the Octogenarians ().
Rev. Cardiovasc. Med. 2021 , 22(2), 475–482; https://doi.org/10.31083/j.rcm2202054
Submitted: 11 March 2021 | Revised: 1 May 2021 | Accepted: 8 May 2021 | Published: 30 June 2021
Abstract

The benefit of complete revascularization in elderly patients with non-ST elevation myocardial infarction (NSTEMI), and multivessel disease remains debated (MVD). The aim of our study was to determine the current long-term prognostic benefit of complete revascularization in this population. A retrospective cohort study of 1722 consecutive elderly NSTEMI patients was performed. Among the study participants 30.4% (n = 524) were completed revascularizated and in 69.6% (n = 1198) culprit vessel only revascularization was performed. A propensity score analysis was performed and we divided the study population into two groups: complete revascularization (n = 500) and culprit vessel only revascularization (n = 500). The median follow-up was 45.7 months, the all cause mortality (44.5% vs 30.5%, p < 0.001) (HR 0.74 (0.57–0.97); p = 0.035) and cardiovascular mortality (32.6% vs 17.4%, p < 0.001) (HR = 0.67 (0.47–0.94); p = 0.021) were significantly lower in patients with complete revascularization. In our study, we observed a long-term benefit of complete revascularization in elderly NSTEMI and MVD patients. Elderly patients should also be managed according to current guidelines to improve their long-term prognosis.

Keywords
Elderly
Revascularization
Mortality
Figures
Fig. 1.
Share
Back to top