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ISSN 0188-2198 (Print)

2000, Number 1

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Rev Mex Cardiol 2000; 11 (1)

Clinical analysis of medical treatment, coronary artery bypass surgery and coronary angioplasty in geriatric patients with ischemic cardiopathy

Galeano RHA, López SJE, Magaña SJA, Reyes CFA

Language: Spanish
References: 21
Page: 179-184
PDF size: 116.03 Kb.


ABSTRACT

In 1995 were carried out 1531 hemodinamic studies in adults, 177 (11.5%) was practiced to patient ≥ 70 years. We revised the files and we selected 58 patients, divided in three groups, depending on the handling established by their own doctor: 30 with medical treatment (Group I, 73 ± 2.3 years old), 14 with surgery (Group II, 74 ± 4.1 years old) and 14 with angioplasty (Group III, 73 ± 2.9 years old). During a pursuit of 12.6 ≥ 2.5 months, 22 patients (73%) stayed free of coronary events of the group I, 8 (64%) of the group II and 5 (36%) of the group III, which was significantly, when the group I were compared with group III (P ‹ 0.05). The global mortality didn’t show significant differences: a patient in the group I; two in the group II and any in the group III. The same happened with the presence of new infarctions: two (6.6%) in the group I, three (21.4%) in the group II and none in the group III. No patient of the group I was subjected to any procedure of revascularization; of the group II, one patient (7.1%) had to be reoperated and to two (14.2%) practiced them ACTP; of the group III, to two patients (14.2%) repeated them the ACTP and a patient (7.1%) arrived to surgery. We concluded that in this group of patients, the better therapy was related with the medical treatment. The surgery showed high morbi-mortality and presence of incomplete revascularization. Although with low morbi-mortality, related to the procedure, the results of the ACTP are not very good.


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