Primary stenting in nonagenarian patients with acute myocardial infarction: A report of two cases

Previous studies suggested that mortality among elderly patients with acute myocardial infarction (AMI) is higher than that of younger patients. On the other hand, previous studies also suggested that primary angioplasty for elderly patients with AMI is superior to thrombolytic therapy. However, little is known about the effectiveness of primary stenting for very elderly patients, especially, nonagenarian patients. We therefore report two nonagenarian patients with AMI treated by primary stenting. One patient discharged from our hospital after 24 days from admission. This patient is currently being carefully followed up by the referring physician. However, the other patient developed cardiogenic shock on admission, and she unfortunately died 2 days after admission. Primary stenting might not be contraindicated even for nonagenarian patients with AMI considering the limitation of conventional therapy.