Arch Iran Med. 2018;21(8):344-348.
PMID: 30113855
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Original Article

Predictors of Long-term Major Adverse Cardiac Events Following Percutaneous Coronary Intervention in the Elderly

Hassan Aghajani 1 * , Paniz Nezami 1, Akbar Shafiee 1,2, Arash Jalali 1, Alireza Nezami 3, Younes Nozari 1, Hamidreza Pourhosseini 1, Seyed Ebrahim Kassaian 1, Mojtaba Salarifar 1, Alimohammad Hajzeinali 1, Alireza Amirzadegan 1, Mohammad Alidoosti 1, Ebrahim Nematipour 1

1 Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran
2 Department of Community Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
*Corresponding Author: Hassan Aghajani, MD, FSCAI; Assistant Professor of Interventional Cardiology, Tehran Heart Center, North Kargar Ave. Tehran, 1411713138, Iran. Tel: +98-21-88029600, Fax: +98 21 8802973, Email: Email: aghajanih@tums.ac.ir

Abstract

Background: We aimed to recognize the predictors of long-term major adverse cardiac events (MACE) in the elderly candidates for elective percutaneous coronary intervention (PCI) at our center.

Methods: In this retrospective cohort study, we reviewed the data of the elderly (age ≥65 years) candidates for elective PCI who met our study criteria, at Tehran heart center between 2004 and 2013. Demographic, anthropometric, clinical, angiographic, procedural and follow-up data of the enrolled patients were retrieved from the angiography/PCI databank of our center. The study characteristics of the patients with or without MACE were compared in a univariable Cox-regression analysis. A multivariable Coxregression model was applied using variables selected from the univariable model to determine the predictors of MACE.

Results: We reviewed the data of 2772 patients (mean age=70.8±4.7 years, male sex=1726 patients [62.3%]) from which 393 patients (14.4%) developed MACE. In the multivariable regression model, female sex was a protective factor for MACE (hazard ratio [HR]=0.701; P=0.001), while presence of diabetes mellitus (HR=1.333; P=0.007), family history of coronary artery disease (CAD) (HR=1.489; P=0.003) and plain balloon angioplasty (HR=1.810; P=0.010) were independent risk factors for MACE.

Conclusion: PCI is a safe and effective method of revascularization in the elderly patients, and some clinical and procedural factors can predict MACE in this group of patients

Cite this article as: Aghajani H, Nezami P, Shafiee A, Jalali A, Nezami AR, Nozari Y, et al. Predictors of long-term major adverse cardiac events following percutaneous coronary intervention in the elderly. Arch Iran Med. 2018;21(8):344–348. 
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