Abstract

CANO-CRUZ, Lilian Guadalupe; DIAZ-LARA, Montzerrat  and  KUSULAS-ZERON, Cristo. Percutaneous coronary angioplasty in a nonagenarian woman. Med. interna Méx. [online]. 2019, vol.35, n.1, pp.165-170. ISSN 0186-4866.  https://doi.org/10.24245/mim.v35i1.2036.

The life expectancy of people has increased in the last years, as a result, the prevalence of octogenarians with the diagnosis of acute myocardial infarction with ST-segment elevation (STEMI) has augmented. The evidence about the treatment with primary percutaneous coronary intervention (PCI) in this group of patients is limited and its prescription is controversial. Many retrospective assays have studied primary PCI in octogenarians with STEMI, and conclude that successful primary PCI can result in a reduction of early and long-term mortality. Taking into account the current evidence, the decision to perform primary PCI in the elderly should not be based on chronological age alone, but rather on each patient’s benefit and eligibility for revascularization, we should consider the possible complications during and after the procedure. This article reports a clinical case of a female patient of 93 years old, that presented with acute myocardial infarction with ST-segment elevation, in which primary percutaneous intervention was performed successfully.

Keywords : Acute myocardial infarction with ST-segment elevation; Percutaneous coronary intervention; Fibrinolysis.