Comparison of Invasive and Non-Invasive Treatment Strategies in Older Patients With Acute Myocardial Infarction Complicated by Cardiogenic Shock (from the Polish Registry of Acute Coronary Syndromes - PL-ACS)

• Published in: The American journal of cardiology 2011, Vol.107 (1), p.30-36
• Main Authors: Gasior, Mariusz, MD, PhD, Slonka, Grzegorz, MD, Wilczek, Krzysztof, MD, Gierlotka, Marek, MD, Ruzyllo, Witold, MD, PhD, Zembala, Marian, MD, PhD, Osadnik, Tadeusz, MD, Dubiel, Jacek, MD, PhD, Zdrojewski, Tomasz, MD, PhD, Kalarus, Zbigniew, MD, PhD, Polonski, Lech, MD, PhD
• Format: Article
• Language: English
• Subjects: Acute coronary syndromes; Aged; Aged, 80 and over; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Angioplasty, Balloon, Coronary; Biological and medical sciences; Cardiology; Cardiology. Vascular system; Cardiovascular; Clinical medicine; Comparative analysis; Coronary Angiography; Coronary heart disease; Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care; Female; Follow-Up Studies; Heart; Heart attacks; Humans; Intensive care medicine; Male; Medical sciences; Myocardial Infarction - complications; Myocardial Infarction - mortality; Myocardial Infarction - therapy; Myocarditis. Cardiomyopathies; Older people; Patients; Poland; Registries; Shock, Cardiogenic - etiology; Treatment Outcome
• ISSN: 0002-9149; 1879-1913
• DOI: 10.1016/j.amjcard.2010.08.039

Cardiogenic shock (CS) continues to be the most important factor affecting the mortality rate of patients with acute myocardial infarctions (AMIs). However, controversy regarding the optimal treatment of older patients with AMIs complicated by CS still exists. The aim of this study was to compare the results of invasive (coronary angiography during index hospitalization) and noninvasive treatment strategies in patients aged ≥75 years with AMIs complicated by CS, defined as systolic blood pressure