February 4, 2014
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Primary percutaneous coronary intervention for ST-segment elevation acute myocardial infarction in nonagenarian patients: results from a Spanish multicentre registry

Publicated to: EuroIntervention. 6 (9): 1080-1084 - 2011-04-01 6(9), DOI: 10.4244/EIJV6I9A188

Authors:

Salinas, Pablo; Galeote, Guillermo; Martin-Reyes, Roberto; Perez-Vizcayno, Maria J; Hernandez-Antolin, Rosana; Mainar, Vicente; Moreu, Jose; de la Torre, Jose M; Zueco, Javier; Tello, Antonio; Jimenez-Valero, Santiago; Sanchez-Recalde, Angel; Calvo, Luis; Plaza, Ignacio; Alfonso, Fernando; Mariscal, Francisco; Lopez de Sa, Esteban; Macaya, Carlos; Lopez-Sendon, Jose-Luis; Moreno, Raul
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Affiliations

Hosp Clin San Carlos, Madrid, Spain - Author
Hosp Infanta Sofia, San Sebastian Reyes, Madrid, Spain - Author
Hosp Marques Valdecilla, Santander, Spain - Author
Hosp Univ Alicante, Alicante, Spain - Author
Hosp Virgen Salud, Toledo, Spain - Author
Hospital Universitario La Paz - Author
Univ Hosp La Paz, Div Intervent Cardiol, Madrid 28046, Spain - Author
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Abstract

Data on primary percutaneous coronary intervention for ST-segment elevation in nonagenarian patients are very limited. Our aim was to evaluate the results of primary percutaneous coronary intervention in patients ? 90 years old with ST-segment elevation acute myocardial infarction.We conducted a multicentre registry focused on nonagenarians treated with percutaneous coronary interventions, gathering data from five tertiary centres in Spain. We included 38 patients with ST-segment elevation acute myocardial infarction who presented within 12 hours after symptoms onset and who were treated with primary percutaneous intervention. Mean age was 91.5 (90-98). Angiographic success was achieved in 90%, and TIMI 3 flow in 76% of cases. In-hospital mortality was 34.2%, concentrated in patients with major bleeding (100% vs. 31.4%), final TIMI flow grade <3 (71.4% vs. 22.7%), and Killip class > I at admission (53.3% vs. 21.7%).Primary percutaneous coronary intervention in nonagenarians with ST-segment elevation acute myocardial infarction is associated with high rate of successful recanalisation of the infarct-related artery. Mortality is concentrated in patients with severe bleeding during hospitalisation, heart failure at admission, and final TIMI flow <3.
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Keywords

Acute myocardial infarctionAgeCardiologyCoronary angioplastyElderlyFluorescenceLossesParticlesPhosphors

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal EuroIntervention due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2011, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Medicine (Miscellaneous). Notably, the journal is positioned above the 90th percentile.

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2026-04-05:

  • WoS: 19
  • Scopus: 18
  • Europe PMC: 13
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Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2026-04-05:

  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 21 (PlumX).
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Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: TOULOUSE CEDEX 6.

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