Which Treatment Strategy Is Preferred In The Octogenarians With Acute Coronary Syndrome?
J Pak Med Assoc
; 73(9): 1800-1804, 2023 Sep.
Article
in En
| MEDLINE
| ID: mdl-37817687
ABSTRACT
Objectives:
To compare the efficacy of invasive and conservative strategy in the management of octogenarians with acute coronary syndrome.METHODS:
The retrospective study was conducted after approval from the ethics review committee of University of Health Sciences, Derince Training and Research Hospital, Turkey and comprised data from April 2020 to April 2021 related to octogenarian patients of either gender admitted to University of Health Sciences, Darica Farabi Training and Research Hospital, Turkey with acute coronary syndrome diagnosis. The data was divided into invasive group A and conservative group B. Data was analysed using SPSS 25.RESULTS:
Of the 168 patients with median age 84(interquartile range 81-86 years), there were 25(14.9%) in group A; 14(56%) males and 11(44%) females. There were 143(85.1%) patientsin group B; 70(49%) males and 73 (51%) females. Overall mortality was 111(66.1%); 11(44%) in group A, and 100(69.9%) in group B (p=0.012). Elevated alanine aminotransferase and invasive strategy were independent factors associated with mortality (p<0.05).CONCLUSIONS:
The invasive strategy in the management of octogenarian patients presenting with acute coronary syndrome was found to be more efficient compared to the conservative strategy.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Acute Coronary Syndrome
Type of study:
Observational_studies
/
Risk_factors_studies
Limits:
Aged80
/
Female
/
Humans
/
Male
Language:
En
Journal:
J Pak Med Assoc
Year:
2023
Type:
Article
Affiliation country:
Turkey