Midterm Outcomes and Quality of Life Following Percutaneous Coronary Intervention in Nonagenarians

Chait, Robert; Zad, Omid; Ramineni, Rajesh; Shukla, Aman; Mitchell, Alex J.

doi:10.1016/j.amjcard.2011.01.046

Cited by 12 publications

(12 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This benefit is marked even for nonagenarians [22]. Agarwal et al [12] contradict these findings demonstrating that at both 6 and 12 months after PCI, all SF-36 domains were worse compared to an age-matched UK population.…”

Section: Resultsmentioning

confidence: 75%

“…After careful systematic selection, 10 studies were included in this systematic review [8,12,22,24,25,26,27,28,29,30]. Full details and results of reviewed articles are provided in tables 1 and 2.…”

Section: Resultsmentioning

confidence: 99%

“…Only three studies indicated if PCI was performed electively or emergently [8,24,27]. All except two studies [8,26] used SF-36 [12,22,24,25,27,28,29] or EuroQOL [30] instruments which reduces bias and ensures coverage of the WHO's QOL definition. Despite this, the number of studies remains small and thereby limits the generalisability of these results.…”

Section: Discussionmentioning

confidence: 99%

“…Seven studies included in this review either did not reach this mark or did not report response rates [8,12,22,24,25,28,29]. Questionnaires were administered by telephone in most studies [8,22,24,25,26,30].…”

Section: Discussionmentioning

confidence: 99%

“…HRQOL has become an increasingly important outcome measure in patients with cardiovascular disease and is frequently used in evaluating benefits of treatment [19]. Studies have shown good HRQOL outcomes after PCI [4,20,21], but results in elderly patients remain limited [8,12,22,23,24,25,26,27,28,29,30]. Considering that life expectancy is 17.1 years at the age of 65 and 8.2 years at the age of 80 [1], there is a significant opportunity for elderly patients to improve their HRQOL if they are offered intervention.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

A Systematic Review on the Quality of Life Benefits after Percutaneous Coronary Intervention in the Elderly

Shan

Saxena²,

McMahon³

2014

Cardiology

View full text Add to dashboard Cite

Aims: Percutaneous coronary intervention (PCI) is being increasingly performed on elderly patients with acceptable peri-procedural outcomes and long-term survival. We aim to systematically review the health-related quality of life (HRQOL) following PCI in the elderly which is an important measure of procedural success. Methods: A systematic review of clinical studies before September 2012 was performed to identify HRQOL in the elderly after PCI. Strict inclusion and exclusion criteria were applied. Quality appraisal of each study was also performed using pre-defined criteria. HRQOL results were synthesised through a narrative review with full tabulation of results of all included studies. Results: Elderly patients have significant improvements in cardiovascular well-being. Early HRQOL appears improved from baseline, but recovery in physical health may be slower than in younger patients. HRQOL is comparable to an age-matched general population and younger patients undergoing PCI. Conservative management is not able to offer the same HRQOL benefits. Coronary artery bypass graft surgery may be superior to PCI in the very elderly. Significant heterogeneity and bias exists. Lack of appropriate data precluded meta-analysis. Conclusion: HRQOL after PCI in the elderly can improve for at least 1 year across a broad range of health domains, and is comparable to an age-matched general population and younger patients undergoing PCI. Given a limited number of articles and patients included, more prospective studies are needed to better identify the benefits for elderly patients.

show abstract

Section: Resultsmentioning

confidence: 75%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A Systematic Review on the Quality of Life Benefits after Percutaneous Coronary Intervention in the Elderly

Shan

Saxena²,

McMahon³

2014

Cardiology

View full text Add to dashboard Cite

show abstract

Effect of percutaneous coronary intervention on quality of life: A consensus statement from the society for cardiovascular angiography and interventions

Blankenship

Marshall

Pinto

et al. 2012

Cathet Cardio Intervent

View full text Add to dashboard Cite

Percutaneous coronary intervention (PCI) decreases ischemic complications of acute coronary syndromes. The benefits of PCI in stable ischemic heart disease (SIHD) depend on its effect on quality of life (QoL), including angina, physical activity, and emotional well-being. PCI decreases angina and the need for anti-anginal medications, and increases exercise capacity and QoL, compared with baseline status and compared with medical therapy without PCI. These benefits are greater when QOL is markedly impaired by severe angina before the procedure. When considering treatment options for symptomatic SIHD, physicians should consider and provide objective data regarding QoL effects for each treatment strategy. QoL outcomes should be considered in clinical trials, appropriate use criteria, practice guidelines, and reimbursement policies for PCI.V C 2012 Wiley Periodicals, Inc.

show abstract

Outcomes after primary percutaneous coronary intervention in octogenarians and nonagenarians with ST‐segment elevation myocardial infarction: From the Western Denmark heart registry

Antonsen

Jensen

Terkelsen

et al. 2013

Cathet Cardio Intervent

View full text Add to dashboard Cite

show abstract

Midterm Outcomes and Quality of Life Following Percutaneous Coronary Intervention in Nonagenarians

Cited by 12 publications

References 6 publications

A Systematic Review on the Quality of Life Benefits after Percutaneous Coronary Intervention in the Elderly

A Systematic Review on the Quality of Life Benefits after Percutaneous Coronary Intervention in the Elderly

Effect of percutaneous coronary intervention on quality of life: A consensus statement from the society for cardiovascular angiography and interventions

Outcomes after primary percutaneous coronary intervention in octogenarians and nonagenarians with ST‐segment elevation myocardial infarction: From the Western Denmark heart registry

Contact Info

Product

Resources

About