Login
Search
Search
0 Dates
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Revascularization Strategies in Elderly Patients with Multivessel Disease: A Comparative Analysis of Complete and Incomplete Interventions
Session:
Sessão de Posters 24 - Biomarcadores em Cardiologia
Speaker:
Oliveira Baltazar
Congress:
CPC 2024
Topic:
J. Preventive Cardiology
Theme:
28. Risk Factors and Prevention
Subtheme:
28.14 Risk Factors and Prevention - Other
Session Type:
Cartazes
FP Number:
---
Authors:
Oliveira Baltazar; Marian Martinho; Barbara Ferreira; Diogo Cunha; Nazar Ilshynshy; João Luz; Liliana Bruchado; Cristina Martins; Helder Pereira
Abstract
<p><strong>INTRODUCTION: </strong>In recent years, the elderly population has seen significant growth, constituting a substantial portion of ACS patients admitted to emergency hospital units. Registry data indicate that up to 65% of patients aged over 75 with AMI present with multivessel disease, associated with an unfavorable prognosis. In this age group, the annual incidence of adverse events, such as death and recurrent AMI, ranges from 15% to 30%.</p> <p>Despite trials on antiplatelet therapy duration and stent choice, robust evidence on revascularization in elderly patients with multivessel disease was limited until recently. Clinical trials like MULTISTAR AMI and FIRE demonstrated benefits in complete revascularization, beyond the culprit lesion, with a significant reduction in MACE.</p> <p>This study aims to compare complete versus incomplete revascularization efficacy in patients aged 75 and older admitted for ACS (STEMI and non-STEMI) at a tertiary institution.</p> <p><strong>METHODS:</strong> A retrospective single-center cohort study involved 140 patients aged over 75, admitted for AMI with and without ST-segment elevation, and presenting with multivessel disease from 2017 to 2022. The primary outcome investigated a combination of events, including all-cause mortality, recurrent AMI, urgent revascularization, and stroke. Demographic data were collected, and follow-up extended until November 2023. Variables with a P value <0.05 in univariate analysis were considered for identifying independent predictors of cardiac events.</p> <p><strong>RESULTS: </strong>Median age was 80 years (interquartile range, 76-84), with 64.3% (90) males. Additionally, 60.7% were admitted due to STEMI, and median follow-up was 20 months (interquartile range, 10-25). Primary outcome occurred in 30.3% (30) undergoing incomplete revascularization and 17.1% (7) undergoing complete revascularization (OR, 0.47; 95% CI, 0.18-1.18; p=0.11). Regarding all-cause mortality, it was observed in 20.2% (7) and 12.2% (5) in incomplete and complete revascularization groups, respectively, without statistical significance (p=0.29). During the first year, Acute Myocardial Infarction events occurred in 4 and 3 patients in incomplete and complete revascularization groups, respectively. Emergent revascularization was observed in 13.1% (13) and 7.3% (7) in incomplete and complete revascularization groups, respectively. Ischemic stroke occurred in only one patient in the incomplete revascularization group.</p> <p><strong>CONCLUSION: </strong>Although our study did not reveal a statistically significant association between revascularization and the composite outcome, there is an observable trend toward a higher incidence of events in the group undergoing incomplete revascularization.</p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site