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Factors Influencing Outcome among Elderly Patients with Acute Coronary Syndrome.

Author

Theo Jay T. Santy,
Ma. Consolacion Dolor-Torres

Related Institution

Adult Cardiology Fellow - Philippine Heart Center

Publication Information

Publication Type
Research Report
Date
January 1-December 31, 2018

Abstract

INTRODUCTION: Elderly patients are a challenging group of individuals in terms of diagnosis and management. Despite these challenges in the management of the elderly patients, they are usually excluded in researches or are poorly represented in major clinical trials. The study aims to determine the factors affecting outcome among elderly patients with acute coronary syndrome.


METHODS: This is a retrospective cross-sectional study which included 96 elderly patients (aged 60 years old and above) admitted at a tertiary cardiovascular referral center. Clinical and demographic factors as well as outcomes were obtained from chart.


RESULTS: The age range of included patients is 64 to 93 years old.  Twenty subjects (21%) were noted to have an outcome. Forty-nine (51%) had NSTEMI, 37 (39%) had STEMI and 10 (10%) had Unstable Angina. Outcomes occurred in 10 of NSTEMI patients ,9 of STEMI patients and 1 in Unstable Angina patients. Cardiogenic shock occurred most frequently at 5.2% followed by mortality (4.2%), fatal arrhythmia (3.2%), and major bleeding and stroke (3.1% each).


DISCUSSION: The age, sex, civil status and financial status of the patients did not contribute to the development of outcome. Similarly, the type of ACS did not have an effect on the occurrence of clinical outcome.

Physical Location

LocationLocation CodeAvailable FormatAvailability
Philippine Heart Center Medical Library PHC,R,002,18 Fulltext Print Format

 
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