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Association of cognitive impairment with treatment and outcomes in older myocardial infarction patients: A report from the NCDR Chest Pain–MI Registry

Journal of the American Heart Association Sep 06, 2019

Bagai A, Chen AY, Udell JA, et al. - Among older (≥ 65 years) myocardial infarction (MI) patients classified by presence and degree of chart-documented cognitive impairment, researchers examined the link between cognitive impairment and all-cause in-hospital mortality following adjustment for recognized prognosticators, to gain knowledge about the use of cardiac therapies and clinical outcomes among aged MI patients with cognitive impairment. The likelihood of receiving invasive cardiac care was substantially less among patients with non–ST-segment–elevation myocardial infarction with cognitive impairment, while similar primary percutaneous coronary intervention but less fibrinolysis was received by patients with ST-segment–elevation myocardial infarction with cognitive impairment. Findings revealed an independent link of presence and degree of cognitive impairment with increased in-hospital mortality.
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