Interventional treatment and outcome in elderly patients with stable coronary artery disease: Results from the German ALKK registry

• Published in: Herz 2014-03, Vol.39 (2), p.212-218
• Main Authors: Rittger, H., Hochadel, M., Behrens, S., Hauptmann, K.E., Zahn, R., Mudra, H., Brachmann, J., Zeymer, U.
• Format: Article
• Language: English
• Subjects: Adult; Age Distribution; Aged; Aged, 80 and over; Cardiology; Coronary Artery Disease - surgery; Female; Germany - epidemiology; Hospital Mortality; Humans; Internal Medicine; Male; Medicine; Medicine & Public Health; Middle Aged; Original Article; Percutaneous Coronary Intervention - mortality; Postoperative Complications - mortality; Postoperative Complications - prevention & control; Prevalence; Registries; Risk Factors; Sex Distribution; Survival Rate; Thrombosis - mortality; Thrombosis - prevention & control; Treatment Outcome
• ISSN: 0340-9937; 1615-6692
• DOI: 10.1007/s00059-013-3822-2

Background The number of elderly and very elderly patients undergoing percutaneous coronary interventions (PCI) is increasing. We therefore analyzed data from the German ALKK registry ( Arbeitsgemeinschaft Leitende Krankenhausärzte; Working Group of Hospital Cardiologists) to determine differences in procedural features, antithrombotic treatment, and in-hospital outcome in patients with coronary artery disease (CAD) according to age in a large series of patients. Methods and results The present analysis was based on the data of 35,534 consecutive patients undergoing elective PCI who were enrolled in the ALKK registry. Of these 27,145 (76.4 %) were younger than 75 years, 7,645 (21.5 %) were aged between 75 and 84 years, and 744 (2.1 %) patients were older than 85 years. Mean age was 68.5 years (60.9–74.5 years), and 25,784 patients (72.6 %) were male. Overall intraprocedural events were very low (1.1 %) and there was no significant difference between the three age groups [