Quality of life after percutaneous coronary intervention in the elderly with acute coronary syndrome

Li, Ruijie; Yan, Bryan P.; Dong, Ming; Zhang, Qing; Yip, Gabriel Wai-Kwok; Chan, Chin‐Pang; Zhang, Mang; Zhang, Qianhuan; Sanderson, John E.; Yu, Cheuk‐Man

doi:10.1016/j.ijcard.2010.09.050

Cited by 45 publications

(51 citation statements)

References 30 publications

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“…After careful systematic selection, 10 studies were included in this systematic review [8,12,22,24,25,26,27,28,29,30]. Full details and results of reviewed articles are provided in tables 1 and 2.…”

Section: Resultsmentioning

confidence: 99%

“…SF-36 scores were superior after PCI compared to before [12,25,27]. In particular, there is good recovery of physical health domains [12,24,25].…”

Section: Resultsmentioning

confidence: 99%

“…In particular, there is good recovery of physical health domains [12,24,25]. The impact on mental health domains is less pronounced [25].…”

Section: Resultsmentioning

confidence: 99%

“…HRQOL has become an increasingly important outcome measure in patients with cardiovascular disease and is frequently used in evaluating benefits of treatment [19]. Studies have shown good HRQOL outcomes after PCI [4,20,21], but results in elderly patients remain limited [8,12,22,23,24,25,26,27,28,29,30]. Considering that life expectancy is 17.1 years at the age of 65 and 8.2 years at the age of 80 [1], there is a significant opportunity for elderly patients to improve their HRQOL if they are offered intervention.…”

Section: Introductionmentioning

confidence: 99%

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A Systematic Review on the Quality of Life Benefits after Percutaneous Coronary Intervention in the Elderly

Shan

Saxena²,

McMahon³

2014

Cardiology

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Aims: Percutaneous coronary intervention (PCI) is being increasingly performed on elderly patients with acceptable peri-procedural outcomes and long-term survival. We aim to systematically review the health-related quality of life (HRQOL) following PCI in the elderly which is an important measure of procedural success. Methods: A systematic review of clinical studies before September 2012 was performed to identify HRQOL in the elderly after PCI. Strict inclusion and exclusion criteria were applied. Quality appraisal of each study was also performed using pre-defined criteria. HRQOL results were synthesised through a narrative review with full tabulation of results of all included studies. Results: Elderly patients have significant improvements in cardiovascular well-being. Early HRQOL appears improved from baseline, but recovery in physical health may be slower than in younger patients. HRQOL is comparable to an age-matched general population and younger patients undergoing PCI. Conservative management is not able to offer the same HRQOL benefits. Coronary artery bypass graft surgery may be superior to PCI in the very elderly. Significant heterogeneity and bias exists. Lack of appropriate data precluded meta-analysis. Conclusion: HRQOL after PCI in the elderly can improve for at least 1 year across a broad range of health domains, and is comparable to an age-matched general population and younger patients undergoing PCI. Given a limited number of articles and patients included, more prospective studies are needed to better identify the benefits for elderly patients.

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Section: Resultsmentioning

confidence: 99%

“…SF-36 scores were superior after PCI compared to before [12,25,27]. In particular, there is good recovery of physical health domains [12,24,25].…”

Section: Resultsmentioning

confidence: 99%

“…In particular, there is good recovery of physical health domains [12,24,25]. The impact on mental health domains is less pronounced [25].…”

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A Systematic Review on the Quality of Life Benefits after Percutaneous Coronary Intervention in the Elderly

Shan

Saxena²,

McMahon³

2014

Cardiology

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“…However, the latest analysis of the CRUSADE (Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes With Early Implementation of ACC/AHA Guidelines) registry did not find decreased in-hospital mortality in invasively treated patients ≥ 75 years of age [24]. It is worth mentioning that Li et al [25] have shown that invasive treatment for ACS significantly improves quality of life, with the greatest improvement in patients ≥ 80 years of age.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of invasive treatment in very elderly Polish patients with non-ST-segment-elevation myocardial infarction from 2003–2009 (from the PL-ACS registry)

Gierlotka¹,

Gąsior²,

Tajstra³

et al. 2013

Cardiol J.

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Background: Elderly patients with non-ST-segment elevation myocardial infarction (NSTEMI) are rarely included in randomized trials due to concomitant diseases. As a result, invasive treatment and aggressive pharmacotherapy are used less frequently in this group. The aim of the study was to analyze the impact of invasive treatment used for elderly patients (≥ 80 years) with NSTEMI from 2003-2009 and its impact on 24-month outcomes.

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Acute cardiac disease in elder patients

DeMeester

Mattu

Grossman

et al. 2016

Geriatric Emergencies

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Quality of life after percutaneous coronary intervention in the elderly with acute coronary syndrome

Cited by 45 publications

References 30 publications

A Systematic Review on the Quality of Life Benefits after Percutaneous Coronary Intervention in the Elderly

A Systematic Review on the Quality of Life Benefits after Percutaneous Coronary Intervention in the Elderly

Outcomes of invasive treatment in very elderly Polish patients with non-ST-segment-elevation myocardial infarction from 2003–2009 (from the PL-ACS registry)

Acute cardiac disease in elder patients

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Quality of life after percutaneous coronary intervention in the elderly with acute coronary syndrome

Cited by 45 publications

References 30 publications

A Systematic Review on the Quality of Life Benefits after Percutaneous Coronary Intervention in the Elderly

A Systematic Review on the Quality of Life Benefits after Percutaneous Coronary Intervention in the Elderly

Outcomes of invasive treatment in very elderly Polish patients with non-ST-segment-elevation myocardial infarction from 2003&#8211;2009 (from the PL-ACS registry)

Acute cardiac disease in elder patients

Contact Info

Product

Resources

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Outcomes of invasive treatment in very elderly Polish patients with non-ST-segment-elevation myocardial infarction from 2003–2009 (from the PL-ACS registry)