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Abstract Primary percutaneous coronary interventions is now the gold standard treatment for patients presented with acute myocardial infarction and the benefits that elderly patients especially those with cardiogenic shock get from such intervention compared with non-shocked patients are debated in many studies. Some of these studies were conducted in the era of only balloon angioplasty and early in the era of stent implantation.With the development in the percutaneous coronary interventions techniques and in the mechanical and pharmacological hemodynamic support of shocked patients, it was thought to improve the results of primary percutaneous coronary interventions in such critical and risky group of patients.Our retrospective non-randomized study was conducted in 80 patients in three groups: Group (1) (20 patients) Elderly patients (more than or equal to 65 years old) presented by acute MI and cardiogenic shock. Group (2) (30 patients) Elderly patients more than or equal to 65 years old presented by acute MI and without cardiogenic shock. |