Objective: The appropriate selection of elderly patients for revascularization has become increasingly important because these subsets of patients are more likely to experience a major cardiac or cerebrovascular event—percutaneous coronary intervention (PCI). The objective this study was to determine important independent risk factor for predicting clinical outcomes in the elderly patients after successful PCI, paticularly in a series of South Korean population. Methods: This study is prospective, multicenter, observational cross-sectional study. A total of 1,884 consecutive patients who underwent successful PCI with Nobori® Biolimus A9-eluting stents were enrolled between April 2010 and December 2012. They were divided into two groupaccording to the age: patients <75 years old (younger patient group) and ≥75 years old (elderly patient group). The primary endpoint was majoadverse cardiac or cerebrovascular events (MACCE) at 1-year after index PCI. Results: The 1-year cumulative incidence of MACCE (12.9% vs. 4.3%, p<0.001) and total death (7.1% vs. 1.5%, p<0.001) was significantly higher the elderly group than in younger group. Previous cerebrovascular disease was significantly correlated with MACCE in elderly patients 1-yeaafter PCI (hazard ratio, 2.804; 95% confidence interval, 1.290–6.093 p=0.009). Conclusion: Previous cerebrovascular disease is important independent predictor of the MACCE in elderly patients at 1-year after PCI witNobori® Biolimus A9-eluting stents especially in a series of South Korean population. Therefore, careful PCI with intensive monitoring and management can improve major clinical outcomes after successful PCI in elderly patients with previous cerebrovascular disease compared wityounger patients.
Bibliographical notePublisher Copyright:
© 2017 by Turkish Society of Cardiology.
All Science Journal Classification (ASJC) codes
- Cardiology and Cardiovascular Medicine