Primary Percutaneous Coronary Intervention As Treatment for ST-Elevation Myocardial Infarction in a Centenarian: Choosing Carefully

Justin M Cloutier; Shelley Zieroth; Basem Elbarouni

doi:10.1016/j.cjca.2017.05.002

Primary Percutaneous Coronary Intervention As Treatment for ST-Elevation Myocardial Infarction in a Centenarian: Choosing Carefully

Can J Cardiol. 2017 Aug;33(8):1066.e1-1066.e3. doi: 10.1016/j.cjca.2017.05.002. Epub 2017 May 8.

Authors

Justin M Cloutier¹, Shelley Zieroth², Basem Elbarouni²

Affiliations

¹ Section of Cardiology, University of Manitoba, Winnipeg, Manitoba, Canada. Electronic address: [email protected].
² Section of Cardiology, University of Manitoba, Winnipeg, Manitoba, Canada.

PMID: 28673761
DOI: 10.1016/j.cjca.2017.05.002

Abstract

We report on a 105-year-old woman presenting with inferior ST-elevation myocardial infarction (STEMI). She was managed with primary percutaneous intervention (PCI) to the right coronary artery with a single bare-metal stent. There were no acute complications, although she experienced delirium and functional decline requiring prolonged hospital admission. She was discharged home and celebrated her 106th birthday. This report describes the oldest centenarian with STEMI found in the literature and managed with PCI. No data exist on how best to manage centenarians with STEMI. Patient comorbidities, functional status, and values should be considered in managing such patients.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Coronary Angiography
Decision Making*
Female
Humans
Percutaneous Coronary Intervention / methods*
Risk Factors
ST Elevation Myocardial Infarction / diagnosis
ST Elevation Myocardial Infarction / surgery*
Stents*
Treatment Outcome