Resumo

HIDALGO-OLIVARES, Víctor M. et al. Influence of age in short and long term prognostic of ischemic cardiogenic shock. Arch. Cardiol. Méx. [online]. 2014, vol.84, n.1, pp.10-16. ISSN 1665-1731.  https://doi.org/10.1016/j.acmx.2013.10.005.

Objective: To compare the prognosis during hospitalization and maximum follow-up of 4 years in patients with myocardial infarction complicated with cardiogenic shock. Method: Prospective observational study practiced in a coronary Care Unit managed by cardiologists. We included patients with myocardial infarction complicated with cardiogenic shock who received early coronary revascularization. Patients were divided into two groups: older than 75 years (group A) and lower (group B), and we compared the evolution during hospitalization and maximum follow-up of 4 years. Primary end point was mortality rate in the maximum follow-up of 4years. Secondary end point was mortality rate during hospitalization. Results: Ninety-seven patients were included, 45% Group A. Patients of Group B were mostly men (81% vs. 57%; P =.014), diabetics (48% vs. 21%; P = 0.006), and smokers (39.6% vs. 5%). Mortality rate during hospitalization was higher in Group A (54.5%) vs. 30.2% in Group B(P = .022). Mortality rate during follow-up (primary variable) was 73% in Group A vs. 38% in Group B (P =.007). Conclusions: Myocardial infarction complicated with cardiogenic shock in elderly patients is an entity with high mortality during hospitalization and continues to worsen during long term follow-up.

Palavras-chave : Cardiogenic shock; Age; Long term mortality; Coronary revascularization; Spain.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )