After a heart attack, elderly adults have better odds for improved health and survival if all major heart vessels are cleared, not just the one that caused the heart attack.
"What we found in the study is the exact opposite," Biscaglia said."Complete revascularization should be pursued in older patients with heart attack and multi-vessel disease."
"Recent clinical trials have established that in patients with a heart attack complete revascularization by treating all significant coronary blockage is superior to just focusing on treating the culprit artery," said, director of the Ahmanson-UCLA Cardiomyopathy Center in Los Angeles. Most of these trials have focused on younger patients, he said.
For the study, Biscaglia and his colleagues randomly assigned 1,445 men and women, half of them older than 80, to have only the culprit heart artery unblocked or all the major blocked arteries opened.
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