Search In this Thesis
   Search In this Thesis  
العنوان
Prospective Study of Predictors of Intermediate Term Morbidity and Mortality In Elderly Patients Undergoing Elective PCI At 6 Months Follow Up\
المؤلف
Saleh, Atef Khamis Abdalmwla.
هيئة الاعداد
باحث / Atef Khamis Abdalmwla Saleh
مشرف / Sherif Samir Elzahwy
مشرف / Mohammed Ismael Ahmed
مناقش / Sherif Mansour Soliman
تاريخ النشر
2014.
عدد الصفحات
132p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الصحة العامة والصحة البيئية والمهنية
تاريخ الإجازة
1/1/2014
مكان الإجازة
جامعة عين شمس - كلية الطب - قلب واوعية دموية
الفهرس
Only 14 pages are availabe for public view

Abstract

Coronary artery disease (CAD) accounts for 70 to 80% of deaths among men and women in peoples older than 65 years of age and is responsible for 50% of patients hospitalized for acute myocardial infarction (MI).
For patients with symptomatic chronic coronary artery disease, revascularization therapy provides symptom relief, and certain high-risk subsets have improved survival.
This study aimed to define is there any mortality or morbidity differences between elderly and young populations after elective percutaneous coronary intervention in patients with symptomatic coronary artery disease in intermediate follow up (6 months).
This study was carried on 150 patients who presented with symptomatic coronary artery disease to the outpatient department. Patients were divided into two groups; seventy five patients were elderly (≥65years old) group (1), and the remaining seventy five patients were young (>65 years).and this group was considered as group (2) elective PCI done to all patients and follow up done for 6 months for major adverse cardiac events, stress ECG done at 6 months and positive cases subjected to coronary angiography and intervention again if needed.
This cohort study demonstrates that, in carefully selected patients, PCI may be performed with high technical success with low mortality and morbidity.In the present study follow up have been done at 6 months with incidence of MACE in elderly group as happened in younger group also with insignificant incidence of MACE as compared with other registries.
There is no difference in intermediate outcomes between elderly and young populations who subjected to elective PCI after symptoms suggesting coronary artery disease.
Among variables of prediction of morbidity and mortality after elective PCI in both groups ejection fraction (EF) is of prognostic significance while the others are not.