Thrombolytic Therapy in Octogenarian Patient with STEMI at Buleleng General Hospital

Abstract

Coronary heart disease incidence in octogenarian keeps increasing in line with increasing population of elderly. In elderly, there were more non-ST-elevation myocardial infarction (NSTEMI) patients compared to the ST-elevation myocardial infarction (STEMI) ones. In elderly, thrombolytic therapy is thought to have higher bleeding incidence compared to cardiac intervention. Aim of this study was to determine the prevalence of bleeding associated with thrombolytic therapy in octogenarian patients with STEMI during 2018 at Buleleng General Hospital. This is a descriptive retrospective study conducted on octogenarian patients with STEMI who received thrombolytic therapy. Additionally, bleeding incidence that occurred during treatment is also observed. In 2018, 62 octogenarian patients were admitted with acute coronary syndrome (ACS). According to patient medical records, 16 patients were diagnosed with STEMI and six of them received thrombolytic therapy. Bleeding effect was recorded in all patients with details of two patients experienced oral mucosa bleeding and four patients experienced urinary tract bleeding. Out of all octogenarian patients with STEMI who were admitted, bleeding occurred in all patients in which urinary tract bleeding is the most common complication.