Characteristics, treatment features and in-hospital mortality of patients with myocardial infarction over 75 years old in Russia according to the REGION-IM registry
Despite widespread elderly population, these patients are underrepresented in clinical trials. Considering the Russian prospective registry REGION-IM, the authors analyzed anamnestic, demographic and clinical characteristics of patients with acute MI over ≥ 75 years old, treatment features and in-hospital mortality. The results were compared with the data of Russian and foreign ACS registries. Patients with MI ≥75 years old in the Russian Federation are characterized by severe comorbidities, less frequent invasive treatment and prescription of necessary drugs. Elderly patients have longer patient-associated reperfusion delay, symptom-to-diagnosis and symptom-to-hospitalization time, which may be explained by atypical symptoms, mental problems and social factors. In-hospital mortality is much higher in patients ≥75 years old. Elderly patients with MI represent a high-risk group that dictates the need for active and balanced approach at all stages of treatment.
Authors
- Yu. K. Rytova (ORCID: https://orcid.org/0000-0002-0967-0962)
- О. С. Донирова (ORCID: https://orcid.org/0000-0002-7409-9096)
- R. G. Gulyan (ORCID: https://orcid.org/0000-0003-3629-6192)
- С. Н. Терещенко (ORCID: https://orcid.org/0000-0001-9234-6129)
- Д. В. Певзнер (ORCID: https://orcid.org/0000-0002-5290-0065)
- Anastasia Isakova
- М. В. Ежов (ORCID: https://orcid.org/0000-0002-1518-6552)
- A.S. Pinaeva (ORCID: https://orcid.org/0000-0003-1686-0171)
- I. S. Yavelov (ORCID: https://orcid.org/0000-0003-2816-1183)
- Р. М. Шахнович (ORCID: https://orcid.org/0000-0003-3248-0224)
- S. А. Boytsov (ORCID: https://orcid.org/0000-0001-6998-8406)
- D.K. Mkrtchyan
- L.A. Bulanova
- T.A. Prihodko
- A.E. Hramcova
- O.P. Kohonova
- M.P. Andrusova
Institutions
- Altair Engineering (United States) (US)
- Central State Hospital (US)
- Regional State Budgetary Healthcare Institution "Smolensk Regional Clinical Hospital" (RU)
- National Research Center for Preventive Medicine (RU)
- Krasnoyarsk Regional Clinical Hospital (RU)
- City Clinical Hospital (RU)
- National Medical Research Center of Cardiology (RU)
Publication Details
- Journal
- Russian Cardiology Bulletin
- Published
- 2025-04-14
- DOI
- https://doi.org/10.17116/cardiobulletin20252001122
- Citations
- 2
- Primary Topic
- Acute Myocardial Infarction Research
- Type
- article
- Field-Weighted Citation Impact
- 2.78