FUNCTIONAL STATUS OUTCOMES OF THE MANAGEMENT IN ACUTE CORONARY SYNDROMES (ACS) AMONG THE ELDERLY : A PROSPECTIVE STUDY AT A TERTIARY CARE CENTER IN KERALA, INDIA.

Virajrao Kore; Priya Vijayakumar; Vijayakumar M

Volume : IX, Issue : II, February - 2019

FUNCTIONAL STATUS OUTCOMES OF THE MANAGEMENT IN ACUTE CORONARY SYNDROMES (ACS) AMONG THE ELDERLY : A PROSPECTIVE STUDY AT A TERTIARY CARE CENTER IN KERALA, INDIA.

Virajrao Kore, Priya Vijayakumar, Vijayakumar M

Abstract :

Coronary artery disease is a major cause of death in the elderly all over the world and India. Even though evidence based therapies have improved the outcomes as a whole, outcomes in the elderly are equivocal. 228 consecutive cases of ACS (as per ACC/AHA guidelines) among the elderly admitted during a period of 6 months were enrolled in our study. Data was collected from EMR as well by personal interview using a semi–structured questionnaire and KPSS. After discharge, the patients were followed up at six months and one year. The mean of delta values of KPSS scores were computed each at 6 and 12 months of follow–up for both the management groups and Student’s ‘t’ test was applied for statistical analysis. 62.7% of cases were managed medically while the rest underwent interventions. The mortality in medically treated and those intervened at end of one year was 30%, 29.4% respectively. The mean delta of KPSS score after one year in medically treated and those underwent intervention were –0.9, 2.17 respectively. Elderly ACS patients receive less evidences based treatments. In our study we found that in elderly patients presenting with ACS, interventions including PTCA and CABG have almost similar nonetheless slightly better functional status outcomes compared to those managed medically over longterm.