Mitsis A, Myrianthefs M. Fragile hearts: Unveiling the crucial layers of frailty in elderly patients undergoing percutaneous coronary interventions. World J Clin Cases 2024; 12(26): 5998-6000 [PMID: 39286391 DOI: 10.12998/wjcc.v12.i26.5998]
Corresponding Author of This Article
Andreas Mitsis, MD, MSc, Academic Research, Consultant Physician-Scientist, Department of Cardiology, Nicosia General Hospital, 215 Old Road Nicosia-Limassol, Nicosia 2026, Cyprus. andymits7@gmail.com
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Letter to the Editor
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Sep 16, 2024; 12(26): 5998-6000 Published online Sep 16, 2024. doi: 10.12998/wjcc.v12.i26.5998
Fragile hearts: Unveiling the crucial layers of frailty in elderly patients undergoing percutaneous coronary interventions
Andreas Mitsis, Michael Myrianthefs
Andreas Mitsis, Michael Myrianthefs, Department of Cardiology, Nicosia General Hospital, Nicosia 2026, Cyprus
Author contributions: Mitsis A and Myrianthefs M designed the research study, performed the research, analysed the data, and wrote the manuscript; Mitsis A and Myrianthefs M have read and approved the final manuscript.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: Https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Andreas Mitsis, MD, MSc, Academic Research, Consultant Physician-Scientist, Department of Cardiology, Nicosia General Hospital, 215 Old Road Nicosia-Limassol, Nicosia 2026, Cyprus. andymits7@gmail.com
Received: January 30, 2024 Revised: June 22, 2024 Accepted: July 10, 2024 Published online: September 16, 2024 Processing time: 174 Days and 21.8 Hours
Abstract
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.
Core Tip: Elderly frail patients undergoing percutaneous coronary intervention (PCI) have increased risks of mortality and adverse cardiovascular events. It is important to integrate frailty into risk assessment tools. Therefore, this study underscores the importance of comprehensive frailty evaluations to enable informed decision-making in PCIs. The findings suggest that tailored interventions should be implemented to optimize outcomes and enhance care quality for this vulnerable population.
