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Table 4 Clinical complications and outcome by age category and stratified by treatment strategy (n = 3475)

From: Predictors of non-invasive therapy and 28-day-case fatality in elderly compared to younger patients with acute myocardial infarction: an observational study from the MONICA/KORA Myocardial Infarction Registry

 

Age category

Variable

25–64 years

65–74 years

75–84 years

p Value

Treatment strategy

All n = 1329 (100)

IT n = 1187 (89.3)

CT n = 142 (10.7)

All n = 1083 (100)

IT n = 891 (82.3)

CT n = 192 (17.7)

All n = 1063 (100)

IT n = 683 (64.2)

CT n = 380 (35.8)

<0.0001

Complications during hospital stay

 

 Cardiac arrest

76 (5.7)

58 (4.9)

18 (12.7)

110 (10.2)

79 (8.9)

31 (16.2)

176 (16.6)

102 (14.9)

74 (19.5)

<0.0001

 Cardiogenic shock

54 (4.1)

48 (4.0)

6 (4.2)

77 (7.1)

66 (7.4)

11 (5.7)

101 (9.5)

75 (11.0)

26 (6.8)

<0.0001

 Ventricular fibrillation

32 (2.4)

29 (2.4)

3 (2.1)

32 (3.0)

27 (3.0)

5 (2.6)

31 (2.9)

25 (3.7)

6 (1.6)

0.65

 Ventricular tachycardia

109 (8.2)

105 (8.9)

4 (2.8)

66 (6.1)

60 (6.7)

6 (3.1)

54 (5.1)

41 (6.0)

13 (3.4)

0.007

 Bradycardia

76 (5.7)

72 (6.1)

4 (2.8)

71 (6.6)

67 (7.5)

4 (2.1)

63 (5.9)

51 (7.5)

12 (3.2)

0.68

 Re-infarction

10 (0.8)

10 (0.8)

0

18 (1.7)

13 (1.5)

5 (2.6)

26 (2.5)

20 (2.9)

6 (1.6)

0.04

 Stroke

5 (0.4)

5 (0.4)

0

9 (0.8)

7 (0.8)

2 (1.0)

8 (0.8)

5 (0.7)

3 (0.8)

0.32

 Pulmonary edema

30 (2.3)

25 (2.1)

5 (3.5)

43 (4.0)

33 (3.7)

10 (5.2)

57 (5.4)

41 (6.0)

16 (4.2)

0.0003

 Any major bleeding complicationa

13 (1.0)

11 (0.9)

2 (1.4)

19 (1.8)

14 (1.6)

5 (2.6)

22 (2.1)

16 (2.3)

6 (1.6)

0.08

 Any in-hospital complication (without cardiac arrest)

254 (19.1)

236 (19.9)

18 (12.7)

243 (22.4)

208 (23.3)

35 (18.2)

249 (23.4)

185 (27.1)

64 (16.8)

0.02

Outcome

 28-day-case fatality

44 (3.3)

28 (2.4)

16 (11.3)

74 (6.8)

44 (4.9)

30 (15.6)

138 (13.0)

64 (9.4)

74 (19.5)

<0.0001

 Death during hospital stay

43 (3.2)

28 (2.4)

15 (10.6)

74 (6.9)

45 (5.1)

30 (15.6)

146 (13.7)

72 (10.5)

74 (19.5)

<0.0001

  1. Data are presented as number (percentage). P values were calculated for comparison of the age categories
  2. IT invasive therapy, CT conservative therapy
  3. a Major bleeding complication: intracranial or retroperitoneal or any other major spontaneous bleeding