Miranda ME, Peña DMA, Castellanos J, Exaire E, Arrieta O, Salazar DE, Villavicencio FR, Delgadillo-Rodríguez H, González-Quesada CJ, Martínez-Ríos MA

Idioma: Ingles.
Referencias bibliográficas: 26
Paginas: 194-199
Archivo PDF: 95.62 Kb.

RESUMEN

Propósito: Identificar predictores de mortalidad y de eventos cardiovasculares adversos mayores (ECAM) intrahospitalarios y a largo plazo (›1 año) en ancianos sometidos a intervencionismo coronario. Métodos: Se incluyeron 73 pacientes (≥ 80 años). Se obtuvieron retrospectivamente características clínicas y del intervencionismo. Los desenlaces primarios fueron mortalidad intrahospitalaria y a largo plazo, así como un desenlace compuesto de infarto del miocardio no fatal, revascularización de vaso tratado, cirugía de revascularización coronaria y muerte (ECAM). Resultados: 83% de los pacientes tuvieron síndrome coronario agudo o Infarto agudo del miocardio, 43% eran trivasculares, 42% presentaban insuficiencia cardíaca. La mortalidad y ECAM intrahospitalarios fueron de 16.4% y 19%, respectivamente. Mortalidad y ECAM a largo plazo fueron de 11.3% y 16.4% respectivamente. Las características que se asociaron a mortalidad y ECAM intrahospitalarios fueron clasificación de Killip III-IV, insuficiencia cardíaca, choque cardiogénico, flujo TIMI 0-2 pre y post procedimiento, diabetes mellitus, nefropatía por contraste, presencia de bloqueo A-V o fibrilación auricular (FA). Los predictores de mortalidad a largo plazo fueron insuficiencia cardíaca, diabetes mellitus, flujo TIMI 0-2 antes y después de la intervención y bloqueo A-V o FA. Conclusiones: La identificación de estos factores de riesgo puede ayudar a predecir complicaciones en pacientes de edad avanzada.

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