Outcome and quality of life one year after percutaneous coronary interventions in octogenarians

被引:0
|
作者
Gunal, A. [1 ]
Aengevaeren, W. R. M. [1 ]
Gehimann, H. K. [1 ]
Luijten, J. E. [1 ]
Bos, J. S. [1 ]
Verheugt, F. W. A. [1 ]
机构
[1] Radboud Univ Nijmegen, Med Ctr, Dept Cardiol, Heartlung Ctr, NL-6500 HB Nijmegen, Netherlands
来源
NETHERLANDS HEART JOURNAL | 2008年 / 16卷 / 04期
关键词
octogenarians; percutancous coronary interventions; mortality; quality of life;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background. While percutaneous coronary intervention (PCI) is increasingly being performed in octogenarians, little is known about the quality of life (QOL) one year after PCI. We assessed the one-year outcome and QOL after PCI. Methods. Outcome and QOL at one year were assessed in patients of 80 years and older who underwent PCI at our institution. We used the RAND-36 Health Survey to assess health-related QOL at follow-up. The EuroSCORE was used for reference risk assessment. Results. Ninety-eight patients (mean age 82.7+/-2.9 years; 60% female) underwent PCI. Acute PCI was performed in 36% of the patients. Canadian Cardiovascular Society (CCS) angina class before the procedure was class III for 28% and class IV for 64%. Of the patients, 98% were in the highest-risk group (additive EuroSCORE 6+). The overall PCI success rate was 94%. Mortality at one year was 19% (38% acute vs. 12% elective PCI). At followup, general health was rated as fairly good and better then before PCI (CCS I and II: 77%). RAND-36 scores for the mental component were better than scores for the physical component. Physical functioning (41+/-28) and role limitations caused by physical health problems (32+/-37) had the worst scores. The mental component vitality had the lowest (55+/-20) and mental health the highest (70+/-21) score. Social functioning was in general good (67+/-26). Conclusion. Octogenarians have a high mortality risk following PCI, especially in acute PCI. In survivors QOL is acceptable with a better mental than physical score. In general, PCI in octogenarians has a positive effect on health perception, with less symptoms of angina pectoris.
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页码:117 / 122
页数:8
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