How Old is Too Old? Observing A Centenarian After Primary PCI

Abstract

Very elderly and frailty are two common risk factors for patients in the setting of acute myocardial infarction and its outcomes. Due to their exclusion from clinical research, follow-up data is inadequate in patients at their nineties and in centenarians. Timely performed percutaneous coronary intervention is the treatment of choice for acute myocardial infarction in very elderly. Unfortunately, patients in their late "90s or in nonagenarians, physicians or patients" relatives usually reject this approach for its invasive nature, multiple comorbidities, lack of larger meta-analysis and misbelief related fear. This report contains a history 98-year-old female presented within the first hour of an acute myocardial infarction and her two years' follow-up.