हृदय रोग एवं निदान

Impact of the Angioplasty Procedure in Cohort of the Patients Older than 80 Years with Anemia: An Observational Study

Abstract

Guimarães Neto WP, De França JCQ, De Godoy MF, Dos Santos MA, Pivatelli FC, De Braite MRS, De Araújo RBNV, Ramirez AVG and Filho IJZ

Introduction: Cardiovascular diseases are the leading causes of death in the population. According to data from the World Health Organization of 2017, of the 21.7 million deaths from these diseases, more than ten million occur due to atherosclerotic coronary disease. In this context, anemia is a frequent problem among patients with acute myocardial infarction and ST elevation. Although there are advantages with this procedure, restenosis continues to be one of the main limiters of therapeutic success, especially in patients older than 80 years and with anemia.

Objective: Therefore, the present study aimed to conduct a retrospective longitudinal and observational study on the impact of angioplasty procedure in patients older than 80 years and with anemia.

Methods: A total of 185 participants were submitted to eligibility analysis, followed by STROBE (Strengthening the Reporting of Observational Studies in Epidemiology), The present study followed a retrospective longitudinal and observational model on the analysis of the profile of patients who underwent angioplasty at Brazil. The predictors were anemia and older patients.

Results: The multivariate analysis showed that anemic patients older than 80 years who underwent angioplasty died, with a significance level of 33.97% in the female group and 34.40% in the male group, with a total of 68.40 % of deaths in statistical terms. The Graph matrix-Plot model showing the results of the regression analysis between continuous predictors and response, with p<0.05 as significant. All the results showed p<0.05 because the presence of the predictor “anemia” negatively influenced the angioplasty procedure in the patients.

Conclusion: The present study showed that patients with anemia showed a significant increase in life risk with death occurring after an angioplasty procedure.