Revascularization Versus Medical Therapy in Patients Aged 80 Years and Older With Acute Myocardial Infarction

Derek Q. Phan, MD; Ara H. Rostomian, MD, MBA, MPH; Franz Schweis, MD; Joanie Chung, MPH; Bryan Lin, MS; Ray Zadegan, MD; Ming-Sum Lee, MD, PhD


J Am Geriatr Soc. 2020;68(11):2525-2533. 

In This Article


This large retrospective study utilizing IPTW showed revascularization (either PCI or CABG) is superior to medical therapy in reducing all-cause mortality and nonfatal MI in patients aged 80 years or older presenting with AMI. Results were consistent in subgroup analysis, except in Black patients and those with prior CABG. We conclude age should not preclude patients presenting with AMI from invasive revascularization as there is significant benefit.