OBJECTIVES: Aim of this observational study was to analyze today's real-life treatment strategies in elderly @entity1 with an @entity583 ( @entity583 ) and to assess the association between 28-day-case fatality and invasive strategy (percutaneous coronary intervention/coronary artery bypass grafting). BACKGROUND: Elderly @entity1 increasingly constitute a large proportion of the @entity583 population. METHODS: The present study is an analysis of all @entity1 aged 75-84 years, who were enrolled in the German population-based MONICA/KORA MI registry between 2009 and 2012 and who were defined as nonfatal at least 24 hours surviving @entity583 cases according to MONICA definition. Multivariable logistic regression analyses were conducted for the total study population and stratified by type of @entity583 (ST-segment elevation MI [STEMI], @entity1347 [ @entity1347 ], and @entity5036 [ @entity5036 ]). RESULTS: Out of the 1,191 elderlies, 61.9% were treated invasively. In the multivariable analysis, the odds ratio (OR) for 28-day-case fatality in @entity1 treated with invasive versus conservative strategy was 0.43 (95% CI 0.27-0.69). Stratified analyses revealed an OR of 0.27 (95% CI 0.13-0.56) for @entity1 with @entity1347 . In @entity1 with STEMI or @entity5036 also a positive trend for invasive strategy was observed (OR 0.40; 95% CI 0.13-1.27 and OR 0.76; 95% CI 0.16-3.66, respectively). CONCLUSIONS: Invasive revascularization therapy was independently associated with short-term survival in elderly @entity1 , particularly in those with @entity1347 .    2015 Wiley Periodicals, Inc.

Acute @entity583 in the elderly: Treatment strategies and 28-day-case fatality from the MONICA/KORA XXXX registry.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity583 :: ('MESH:D009203', 'Disease') :: ['AMI', 'acute myocardial infarction'] @entity5036 :: ('OMIM:113900', 'Disease') :: ['bundle branch block', 'BBB'] @entity1347 :: ('MESH:C537775', 'Disease') :: ['Non-ST-segment elevation MI', 'NSTEMI']
@entity583 :: (MESH:D009203,Disease) :: ['myocardial infarction']
