Pathological ankle–brachial index is equivalent of advanced age in acute coronary syndromes

摘要: Eur J Clin Invest 2011; 41 (12): 1268–1274 Abstract Background  Age is one the factors associated with poor prognosis in acute coronary syndromes (ACS) and elderly patients are a high-risk collective few parameters for mid-term cardiovascular stratification. We aimed to assess predictive value of ankle–brachial index (ABI) (> 75 years) 1-year mortality after an ACS. Materials methods  Prospective, observational multicentre study ACS whom ABI was assessed during hospitalization. Results  A total 1·054 were included, mean age 66·6 (11·7) years from 26·6% > 75 years. Elderly showed more history disease higher prevalence all risk factors, except current smoking. Angiography revascularization performed less frequently elderly. Patients > 75 years presence three vessel received fewer guideline-recommended treatments. who died through follow-up, time 387·9 ± 7·2 days, had lower (0·73 ± 0·24 vs. 0·92 ± 0·22; P   75 years (HR: 2·30; IC 95% 1·26–4·18;  0·90 young < 0·90; worst observed < 0·90 10·01; CI 3·74–27·15). Conclusions  represent relevant treated optimally. predicts patients.