Efficacy of pharmacoinvasive reperfusion in elderly patients with acute myocardial infarction

The aim of this study was to investigate the efficacy and safety of pharmacoinvasive reperfusion in elderly patients (>75 years) with acute myocardial infarction. The criterion of exclusion was death in the first day of admission to hospital. A total of 68 patient charts were used for the analysis. The rate of electrocardiographic signs of reperfusion (resolution of ST-segment elevation >50%) was 44% 90 min after thrombolysis. In patients with electrocardiographic signs of reperfusion, the occlusion of infarct-related artery was found in 56.7% of cases. PCI was performed as delayed PCI in 70% and as recue PCI in 76.3% of patients. In other cases, PCI was not performed due to severe coronary disease.