Long-Term Results Of Percutaneous Coronary Intervention In Elderly Patients With Coronary Artery Disease.

Abstract

Background:

The treatment of the coronary artery disease (CAD) in geriatric patients, percutaneous coronary intervention (PCI) procedure is commonly applied. Nonetheless, its long-term benefits among the affected population might be affected by differences in physiology due to age as well as the presence of numerous comorbidities. The goal of this study was to compare the quality of life, complications.

Objectives: To determine long-term survival, necessity of repeat revascularization, occurrence of complications and amelioration of the quality of life experienced in Viejo patients that go through PCI in CAD.

Study Design: A Observational Retrospective Study.

Durtion and Place of Study: Department Of Cardiology Department Qazi Hussain Ahmad Medical Complex Nawshera/ NMC Between January, 2022 And December, 2023.

Methods: 50 old patients with coronary artery disease (CAD) upon getting the diagnosis they performed percutaneous coronary intervention (PCI) during this time. The participants consisted of a mean age of 75.5 +/- 6.8 years. The demographics collected, presence of comorbidities, survival rates, need of repeat revascularization, presence of complications, and quality-of-life outcomes too were recorded. A p- value of <0.05 was used as the statistical significance.

Results: 50 patients at the mean age of 75.5 +- 6.8 years was included. The probability of survival was 75% within the 5 years of development with considerably low survival amongst comorbid patients than those who were not (p = 0.03). Twelve percent of the patients became in need of repeat revascularization. Bleeding and contrast-induced nephropathy were the problems with a 18 percent post-procedural complication rate. Sixty percent of the patients had improved quality of life at the follow-up.

Conclusion: PCI seems to have good long term survivors with older CAD patients but there is higher level of complications and repeat procedures than there is within younger generation. Paintful patient selection and enhanced tactics of post-procedural operations are vital to enhancing the results.