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March 2013 Br J Cardiol 2013;20:27–31 doi:10.5837/bjc.2013.006

Percutaneous coronary intervention in the very elderly (≥85 years): trends and outcomes

Omar Rana, Ryan Moran, Peter O’Kane, Stephen Boyd, Rosie Swallow, Suneel Talwar, Terry Levy

Abstract

Introduction Over the last several years, the UK has witnessed a gradual ageing of its population.1 Moreover, the proportion of the very elderly (≥85 years old) in the general population is expected to rise fastest with a three-fold increase by the year 2035.1 Advancing age is perhaps the strongest predictor of de novo cardiovascular disease (CVD).2 As a consequence, cardiovascular (CV) mortality rates demonstrate a linear association with increasing age beyond the seventh decade. For example, octogenarians have a 10-fold greater risk of developing CVD in comparison with patients <50 years of age.2 Furthermore, mortality rates from CVD a

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