Clinical Follow up of Octogenarian Patients Undergoing Percutaneous Coronary Revascularization in the Last years At Centro M eacute dico de Caracas

Elderly or very old patients are often excluded from randomized studies and therefore are subject to individualized treatment according to their clinical status Octogenarians constitute a high risk age group due to the high complexity of coronary disease more frequently multi vessels and associated co morbidity In this sense we to carry out a descriptive clinical follow up study of patients ge years of age treated at our Hemodynamic Unit Cath Lab at Centro M eacute dico de Caracas in the last five years Since January to June Clinical events such as total mortality cardiovascular and non cardiovascular mortality angina new revascularization myocardial infarction and stroke were evaluated Clinical follow up was done through an interview with a treating physician contact the patient or family members directly clinical history review was made on the database of Cath Lab Sixty one patients were followed up forty one were male and twenty were female Total mortality was cardiovascular mortality was and non cardiovascular mortality was In hospital mortality was associated with severe cardiovascular complications such as cardiogenic shock and acute pulmonary edema An average follow up time was plusmn months The mean age at baseline was plusmn and the mean age at the time of completion was plusmn Of the patients remained cardiovascular asymptomatic There were no major renal complications at the follow up and there were no significant bleedings In conclusion in a selected sample of octogenarian patients a total mortality of with cardiovascular mortality of and non cardiovascular mortality of was observed In hospital mortality was and there were no patients with end stage renal disease ESRD required dialysis during the follow up period of plusmn months