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| 1 | Stable ischemic heart disease in the older adults显示文摘1 Introduction Ischemic heart disease is caused by atherosclerotic and/or thrombotic obstruction of coronary arteries.Clinical spectrum of ischemic heart disease expands from asymptomatic atherosclerosis of coronary arteries to acute coronary syndromes (ACS) including unstable angina,acute myocardial infarction (non-ST elevation myocardial infarction and ST elevation myocardial infarction). | Xuming DAI Jan Busby-Whitehead Daniel E Forman Karen P Alexander | 2016 | Journal of Geriatric Cardiology2016，13，2： | 5 |
| 2 | In-hospital outcomes and readmission in older adults treated with percutaneous coronary intervention for stable ischemic heart disease显示文摘Background Percutaneous coronary intervention(PCI)for stable ischemic heart disease(SIHD)in older adults requires a metic-ulous assessment of procedural risks and benefits,but contemporary data on outcomes in this population is lacking.Therefore,we examined the risk of near-term readmission,bleeding,and mortality in high-risk cohort of older adults undergoing inpatient PCI for SIHD.METHODS We analyzed the National Readmissions Database from 2017 to 2018 to identify index hospitalizations in which PCI was performed for SIHD.Patients were stratified into those≥75 years old(older adults)and those<75 years old.The primary outcome was 90-day readmission.Secondary outcomes included in-hospital mortality,hospital length of stay(LOS),and total hospital charge.RESULTS A total of 74,516 patients underwent inpatient PCI for SIHD,of whom 24,075 were older adults.Older adult patients had higher odds of in-hospital mortality(OR=2.00,95%CI:1.68-2.38),intracranial hemorrhage(OR=2.03,95%CI:1.24-3.34),and gastrointestinal hemorrhage(OR=1.72,95%CI:1.43-2.07)during index hospitalization,with longer LOS and in-hospital charge.Older adults also experienced a higher hazard of 90-day readmission for any cause(HR=1.61,95%CI:1.57-1.66)and car-diovascular causes(HR=1.84,95%CI:1.77-1.91).CONCLUSION Older adults undergoing inpatient PCI for SIHD were at increased risk for in-hospital mortality,periprocedural morbidities,higher cost,and readmissions compared with younger adults.Understanding these differences may improve shared decision-making for patients with SIHD being considered for PCI. | Dae Yong Park Jonathan M.Hanna Sumeet Kadian Mannat Kadian WSchuyler Jones Abdulla Al Damluji Ajar Kochar Jeptha P.Curtis Michael G.Nanna | 2022 | Journal of Geriatric Cardiology2022，19，9： | 0 |
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