Comparative Study of In-hospital Outcome of Elective Percutaneous Coronary Intervention (PCI) in Patients Above & Below 65 Years

Abstract

SUMMARY T he aim of this study was to compare in-hospital outcome of Elective PCI in Elderly aged 65 years and above with those below 65 years. This study was conducted at Ain Shams University Hospitals and enrolled total 100 patients divided into two groups, group A 65 years or above and group B less than 65 years. All patients were subjected to the following: 1. Taking full history. 2. Clinical examination, ECG, echocardiography. 3. Biochemical evaluation, mainly serum creatinine level. 4. Peri-procedural Type & site of coronary lesion including TIMI Flow grading. 5. Evaluation of Re-flow. 6. Post PCI in hospital evaluation of clinical improvement & observation for any major adverse cardiovascular event (MACE) such as in-hospital mortality, repeat target vessel revascularisation, re-infarction.

At the end of our study we found:  Increased age is associated with decreased Pulse rate and Ejection fraction.  Multi-vessels disease was more prevalent in elderly patients aged 65 years or more.  LAD affection was more in case of elderly patients aged 65 years or more.  There was no statistically significant difference in elective post PCI clinical improvement between the two studied groups (elderly patients aged 65 years or more and patients aged less than 65years).  There was no MACE in both the studied groups.  Regarding other elective post PCI in hospital complications (local bleeding, chest pain) there was no statistically significant difference between the two studied groups.