Primary coronary angioplasty in a nonagenarian

Abstract

A woman aged 98 years entered the tertiary hospital service with a picture of acute myocardial infarction of the extensive anterior wall, which began 4 hours earlier. Due to the large myocardial risk area suggested by the electrocardiogram, the patient was taken to the hemodynamics laboratory for the performance of emergency coronary arteriography, which revealed occlusion in the proximal third of the anterior descending artery. Primary angioplasty followed by stent grafting was successfully performed. The patient had a satisfactory evolution (Killip I) and was discharged from the hospital on the seventh postinfarction day. We discuss here aspects of thrombolysis and coronary percutaneous interventions in the aged

Primary percutaneous coronary intervention for ST elevation myocardial infarction in nonagenarians

“…Even though primary PCI has been established as the standard of care, a conservative strategy is often adopted when facing this situation in nonagenarians 15 16. The first case report of primary PCI in a nonagenarian was published in 2002 17. Few studies based on cohorts have suggested feasibility for invasive management of STEMI in nonagenarians 18–21.…”