CARDIOVASCULAR JOURNAL OF AFRICA • Volume 25, No 1, January/February 2014
e10
AFRICA
Conclusion
Primary PCI seems to be the best reperfusion therapy for
STEMI, even in elderly patients. Although there are no studies
on centenarians with STEMI undergoing primary PCI, some
case reports show low procedure-related complication rates and
that primary PCI is lifesaving.
References
1.
Van De Werf F, Bax J, Betriu A,
et al
. Management of acute myocardial
infarction in patients presenting with persistent ST-segment elevation:
the task force on the management of ST-segment elevation acute
myocardial infarction of the European Society of Cardiology.
Eur Heart
J
2008;
29
: 2909–2945.
2.
William W, Philippe K, Nicolas D,
et al
. Myocardial revascularization:
the task force on myocardial revascularization of the European Society
of Cardiology (ESC) and the European Association for Cardio-Thoracic
Surgery (EACTS).
Eur Heart J
2010;
31
: 41–44.
3.
Valente S, Lazzeri C, Salvadori C,
et al.
Effectiveness and safety of
routine primary angioplasty in patients aged
≥
85 years with acute
myocardial infarction.
Circ J
2008;
72
: 67–70.
4.
Sakai K, Nagayama S, Ihara K,
et al
. Primary percutaneous coronary
intervention for acute myocardial infarction in the elderly aged
≥
75
years.
Catheter Cardiovasc Interv
2012;
79
: 50–56.
5.
Bueno H, Betriu A, Heras M. Primary angioplasty vs. fibrinolysis
in very old patients with acute myocardial infarction: TRIANA
(TRatamiento del Infarto Agudo de miocardio eN Ancianos) rand-
omized trial and pooled analysis with previous studies.
Eur Heart J
2011;
32
: 51–60.
6.
Wang L, Zhang MZ, Yang G. Combined therapy with Chinese medicine
and percutaneous transradial coronary intervention for a centenarian
patient with acute myocardial infarction.
Chin J Integr Med
2009;
15
:
233–235.
7.
Ba
ş
ar C, Bulur S, Aslanta
ş
Y, Ekinozu I, Ozhan H.
The oldest male
patient in the literature who had undergone successful primary percuta-
neous intervention.
Arch Turk Soc Cardiol
2011; Suppl 1: 316.
