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ARGEN-IAM-ST: ADULTOS MAYORES CON INFARTO, ¿SON TODOS IGUALES?

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Title: ARGEN-IAM-ST: ADULTOS MAYORES CON INFARTO, ¿SON TODOS IGUALES?
Alternate Title: ARGEN-IAM-ST Registry: older adults with infarction: Are they all the same?
Authors: Castillo Costa, Yanina1 (AUTHOR) yanu_c@hotmail.com, Delfino, Flavio1 (AUTHOR), Palacio, Soledad1 (AUTHOR), Charask, Adrián1 (AUTHOR), Mauro, Víctor1 (AUTHOR), Macín, Stella2 (AUTHOR), Zapata, Gerardo2 (AUTHOR), D´Imperio, Heraldo1 (AUTHOR), Thierer, Jorge1 (AUTHOR), Gagliardi, Juan1 (AUTHOR)
Source: Medicina (Buenos Aires). jul/aug2024, Vol. 84 Issue 4, p682-688. 7p.
Abstract (English): Introduction: Currently the patient is defined as an older adult (OA) when the age is at least 60 years. Given the long life expectancy, it is interesting to evaluate whether all OAs with acute myocardial infarction (AMI) are equal. The objectives were to know the prevalence of OA in AMI and within them, that of those ≥75 years of age and to analyze characteristics, reperfusion treatments and in-hospital mortality according to whether they are < or ≥ 75 years of age. Methods: OA patients admitted to the National Registry of Infarction with ST segment elevation (ARGENIAM-ST) were analyzed. They were divided into group 1: 60-74 years old and group 2: ≥ 75 years old and compared with each other. Results: 3626 AM, 75.9% from Group 1, the rest from Group 2. In group 2 there were more women, hypertensive and with a history of coronary arteries. There was a similar percentage of diabetes and dyslipidemia, but fewer of smokers. In Group 2, less reperfusion treatment was used (although more primary angioplasty), with similar door-to-balloon time. Patients in Group 2 received fewer medications of proven efficacy and in the hospital course, they had more bleeding (although not major), more heart failure and more mortality: 18.3% vs. 9.4%, p<0.001. Age ≥75 years was an independent predictor of mortality. Conclusions: one in four patients with AMI is over 75 years old; they receive less reperfusion, have more heart failure, bleeding and twice the mortality rate than patients between 60 and 74 years. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: Actualmente se define al paciente como adulto mayor (AM) si su edad es al menos de 60 años. Dada la expectativa de vida prolongada resulta interesante evaluar si todos los AM con infarto agudo de miocardio (IAM) son iguales. Los objetivos fueron conocer la prevalencia de AM en el IAM y dentro de ellos, la de los ≥75 años y analizar características, tratamientos de reperfusión y mortalidad intrahospitalaria de acuerdo a si son < o ≥ 75 años. Métodos: Se analizaron los pacientes AM ingresados en el Registro Nacional de Infarto con supra desnivel del segmento ST (ARGEN-IAM-ST). Se los dividió en grupo 1: 60-74 años y grupo 2: ≥ 75 años y se compararon entre sí. Resultados: AM 3626, 75.92% del Grupo 1, el resto del Grupo 2. En el grupo 2 hubo más mujeres, hipertensos y con antecedentes coronarios. Hubo similar porcentaje de diabetes y dislipidemia, pero menos de tabaquistas. En el Grupo 2 se empleó menos tratamiento de reperfusión (aunque más angioplastia primaria), con similar tiempo puerta-balón. Los pacientes del Grupo 2 recibieron menos medicamentos de probada eficacia y en la evolución hospitalaria, más sangrado (aunque no mayor), más insuficiencia cardíaca y más mortalidad: 18.3% vs 9.4%, p<0.001. La edad ≥75 años fue predictor independiente de mortalidad. Conclusiones: Uno de cada cuatro AM con IAM tiene más de 75 años; estos pacientes reciben menos reperfusión, presentan más insuficiencia cardíaca y sangrado y tienen el doble de mortalidad que los pacientes de entre 60 y 74 años. [ABSTRACT FROM AUTHOR]
Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: ARGEN-IAM-ST: ADULTOS MAYORES CON INFARTO, &#191;SON TODOS IGUALES?
– Name: TitleAlt
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  Data: ARGEN-IAM-ST Registry: older adults with infarction: Are they all the same?
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Castillo+Costa%2C+Yanina%22&quot;&gt;Castillo Costa, Yanina&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;i&gt; yanu_c@hotmail.com&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Delfino%2C+Flavio%22&quot;&gt;Delfino, Flavio&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Palacio%2C+Soledad%22&quot;&gt;Palacio, Soledad&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Charask%2C+Adri&#225;n%22&quot;&gt;Charask, Adri&#225;n&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Mauro%2C+V&#237;ctor%22&quot;&gt;Mauro, V&#237;ctor&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Mac&#237;n%2C+Stella%22&quot;&gt;Mac&#237;n, Stella&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Zapata%2C+Gerardo%22&quot;&gt;Zapata, Gerardo&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22D&#180;Imperio%2C+Heraldo%22&quot;&gt;D&#180;Imperio, Heraldo&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Thierer%2C+Jorge%22&quot;&gt;Thierer, Jorge&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Gagliardi%2C+Juan%22&quot;&gt;Gagliardi, Juan&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Medicina+%28Buenos+Aires%29%22&quot;&gt;Medicina (Buenos Aires)&lt;/searchLink&gt;. jul/aug2024, Vol. 84 Issue 4, p682-688. 7p.
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Introduction: Currently the patient is defined as an older adult (OA) when the age is at least 60 years. Given the long life expectancy, it is interesting to evaluate whether all OAs with acute myocardial infarction (AMI) are equal. The objectives were to know the prevalence of OA in AMI and within them, that of those ≥75 years of age and to analyze characteristics, reperfusion treatments and in-hospital mortality according to whether they are &lt; or ≥ 75 years of age. Methods: OA patients admitted to the National Registry of Infarction with ST segment elevation (ARGENIAM-ST) were analyzed. They were divided into group 1: 60-74 years old and group 2: ≥ 75 years old and compared with each other. Results: 3626 AM, 75.9% from Group 1, the rest from Group 2. In group 2 there were more women, hypertensive and with a history of coronary arteries. There was a similar percentage of diabetes and dyslipidemia, but fewer of smokers. In Group 2, less reperfusion treatment was used (although more primary angioplasty), with similar door-to-balloon time. Patients in Group 2 received fewer medications of proven efficacy and in the hospital course, they had more bleeding (although not major), more heart failure and more mortality: 18.3% vs. 9.4%, p&lt;0.001. Age ≥75 years was an independent predictor of mortality. Conclusions: one in four patients with AMI is over 75 years old; they receive less reperfusion, have more heart failure, bleeding and twice the mortality rate than patients between 60 and 74 years. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducci&#243;n: Actualmente se define al paciente como adulto mayor (AM) si su edad es al menos de 60 a&#241;os. Dada la expectativa de vida prolongada resulta interesante evaluar si todos los AM con infarto agudo de miocardio (IAM) son iguales. Los objetivos fueron conocer la prevalencia de AM en el IAM y dentro de ellos, la de los ≥75 a&#241;os y analizar caracter&#237;sticas, tratamientos de reperfusi&#243;n y mortalidad intrahospitalaria de acuerdo a si son &lt; o ≥ 75 a&#241;os. M&#233;todos: Se analizaron los pacientes AM ingresados en el Registro Nacional de Infarto con supra desnivel del segmento ST (ARGEN-IAM-ST). Se los dividi&#243; en grupo 1: 60-74 a&#241;os y grupo 2: ≥ 75 a&#241;os y se compararon entre s&#237;. Resultados: AM 3626, 75.92% del Grupo 1, el resto del Grupo 2. En el grupo 2 hubo m&#225;s mujeres, hipertensos y con antecedentes coronarios. Hubo similar porcentaje de diabetes y dislipidemia, pero menos de tabaquistas. En el Grupo 2 se emple&#243; menos tratamiento de reperfusi&#243;n (aunque m&#225;s angioplastia primaria), con similar tiempo puerta-bal&#243;n. Los pacientes del Grupo 2 recibieron menos medicamentos de probada eficacia y en la evoluci&#243;n hospitalaria, m&#225;s sangrado (aunque no mayor), m&#225;s insuficiencia card&#237;aca y m&#225;s mortalidad: 18.3% vs 9.4%, p&lt;0.001. La edad ≥75 a&#241;os fue predictor independiente de mortalidad. Conclusiones: Uno de cada cuatro AM con IAM tiene m&#225;s de 75 a&#241;os; estos pacientes reciben menos reperfusi&#243;n, presentan m&#225;s insuficiencia card&#237;aca y sangrado y tienen el doble de mortalidad que los pacientes de entre 60 y 74 a&#241;os. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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