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Original Research

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Effects of a percutaneous coronary intervention or conservative treatment strategy on treatment outcomes in elderly female patients with acute coronary syndrome

  • DOMAGOJ MARKOVIC1
  • ANDRO RADANOVIC2
  • ANTE MIHOVILOVIC3
  • JOSKO BOZIC4
  • AJVOR LUKIN2
  • MIROSLAV SIMUNIC5

1Clinic for heart and cardiovascular diseases, University Hospital of Split, Split, Croatia

2 Dalmatian County Institute of Emergency Medicine, Croatia

3 Department of Maxillofacial Surgery, University Hospital of Split, Split, Croatia

4 Department of Pathophysiology, School of Medicine, University of Split, Split, Croatia

5 Department of Internal Medicine, University Hospital of Split, Split, Croatia

DOI: 10.22514/SV121.102016.16 Vol.12,Issue S1,October 2016 pp.96-100

Published: 10 October 2016

*Corresponding Author(s): DOMAGOJ MARKOVIC E-mail: markovic.domagoj@gmail.com

PDF (332.31 kB)

Abstract

Aim. To determine the difference in hospi-tal outcomes between percutaneous coro-nary intervention (PCI) and conservative treatment of elderly female patients hos-pitalized for acute coronary syndrome (ACS).

Material and Methods. This controlled study included 123 female patients admit-ted to the Clinic for heart and cardiovas-cular diseases University Hospital of Split with a diagnosis of ACS and multiple car-diovascular risk factors. We recorded their habits, history, demographics, presenting symptoms, electrocardiograms, ultra-sound results, laboratory tests, diagnostic tests and treatment. We compared these data between the two groups, i.e., those treated with conservative therapy and those treated with PCI.

Results. There were fewer arrhythmias (P<0.001) and episodes of heart failure (P<0.001) during hospitalization in the PCI group than in the conservative ther-apy group. There was no significant differ-ence in complications between the groups (P=0.887).

Conclusion. Elderly female patients with ACS treated with PCI had less arrhythmias and heart failure during hospitalization than those treated with conservative ther-apy and there was no difference in com-plications. These results suggest that even high risk patients have better outcomes af-ter treatment with PCI, and therefore PCI is suggested as first-line treatment in these patients, regardless of risk factors.

Key words

percutaneous coronary interven-tion, acute coronary syndrome, women

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DOMAGOJ MARKOVIC,ANDRO RADANOVIC,ANTE MIHOVILOVIC,JOSKO BOZIC,AJVOR LUKIN,MIROSLAV SIMUNIC. Effects of a percutaneous coronary intervention or conservative treatment strategy on treatment outcomes in elderly female patients with acute coronary syndrome. Signa Vitae. 2016. 12(S1);96-100.

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