Mitsis Andreas, Myrianthefs Michael
Department of Cardiology, Nicosia General Hospital, Nicosia 2026, Cyprus.
World J Clin Cases. 2024 Sep 16;12(26):5998-6000. doi: 10.12998/wjcc.v12.i26.5998.
Wang and Liu's systematic review of frailty among elderly patients undergoing percutaneous coronary intervention (PCI) revealed that patients with frailty have significantly higher risks of all-cause and in-hospital death, major undesirable cardiovascular events, and major haemorrhage. Frailty is associated with adverse events, prolonged hospital stays, increased complications, and elevated mortality risk due to diminished physiological reserves. Integrating frailty into risk assessment tools is crucial, and gait speed has emerged as a key predictor of frailty. Recognizing the impact of frailty leads to personalized and informed decision-making, and frailty assessments should be performed. This holistic approach can inform tailored interventions, thereby optimizing outcomes for this vulnerable population undergoing PCI.
王和刘对接受经皮冠状动脉介入治疗(PCI)的老年患者的衰弱情况进行的系统评价显示,衰弱患者全因死亡和住院死亡、主要不良心血管事件以及大出血的风险显著更高。由于生理储备减少,衰弱与不良事件、住院时间延长、并发症增加以及死亡风险升高相关。将衰弱纳入风险评估工具至关重要,而步速已成为衰弱的关键预测指标。认识到衰弱的影响有助于进行个性化和明智的决策,并且应该进行衰弱评估。这种整体方法可以为量身定制的干预措施提供依据,从而为接受PCI的这一脆弱人群优化治疗结果。