Abstract
Acute coronary syndrome in the elderly patients is a particular clinical entity characterized by increased incidence. Medical advances and improvement of the conditions of life acquires of the elderly person the progression of their autonomy. Our aim is to evaluate the quality of life of elderly patients after ACS treated by angioplasty. We had collected 141 elderly patients (>75 ans) (mean age:80.6± 4.03 years old) admitted for NSTEMI in Haguenau hospital center in France, between august 2012 and august 2013. 58.2% had percutaneous coronary intervention (PCI), 34% medical treatment and 7.8% CABG. In the acute phase after PCI: renal failure 11%(vs 6.3% after medical treatment), heart failure 7.3% (vs 6.3%), recurrence infarction 6.1% (vs: 0%). Mortality of 2.4% (vs: 0%). At 6 month after PCI: renal failure 3.8% (vs: 0%), recurrent infarction 7.5% (vs 4,2%) and heart failure 6.3%(vs 8,3%). Mortality of 1.4%(vs: 0%). The quality of life has improved in 45% after PCI, versus 12,5% after medical treatment. At 1 year after PCI: mortality 1,3% and recurrent infarction1. 3%. The quality of life has improved in 53.2% versus 12.5% after medical treatment. While a stationary quality of life is noted in 72.9% after medical treatment. Angioplasty in elderly patients improves the quality of life, especially of physical health, but with some cases of complications. While medical treatment that maintained a steady state of quality of life with fewer complications.
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