Evidence map›Paper›PMID 40981748›Full record

ArticleCardiology journal2026

Clinical presentation and outcomes of acute myocardial infarction with vs. without ST elevation in octogenarians.

Wojciech Picheta, Bartłomiej Góra, Mateusz Kachel, Matylda Forszpaniak, Aleksandra Kolarczyk-Haczyk, Michał Dudek, Filip Sawicki, Piotr Buszman, Marek Gierlotka, Mariusz Gąsior and 1 more

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in Cardiology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Wojciech PichetaProvincial Hospital in Myszkow, Poland.
Bartłomiej GóraCardiology and Cardiac Surgery Center, American Heart of Poland in Katowice, Bielsko-Biala, Poland.
Mateusz KachelCardiology and Cardiac Surgery Center, American Heart of Poland in Katowice, Bielsko-Biala, Poland.
Matylda ForszpaniakCenter for Cardiovascular Research and Development, American Heart of Poland, Katowice, Poland.
Aleksandra Kolarczyk-HaczykCenter for Cardiovascular Research and Development, American Heart of Poland, Katowice, Poland.
Michał DudekVoivodeship Hospital in Bielsko-Biala, Poland.
Filip SawickiFaculty of Medicine, University of Silesia, Katowice, Poland.
Piotr BuszmanCardiology and Cardiac Surgery Center, American Heart of Poland in Katowice, Bielsko-Biala, Poland.
Marek GierlotkaDepartment of Cardiology, Institute of Medical Sciences, University of Opole, Poland.
Mariusz Gąsior3rd Department of Cardiology, School of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Zabrze, Poland.
Krzysztof MilewskiCardiology and Cardiac Surgery Center, American Heart of Poland in Katowice, Bielsko-Biala, Poland. k.milewski@ahp-ccrd.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs a result of increased life expectancy, the number of octa- and nonagenarians presenting with myocardial infarction is on the rise. These patients are often underrepresented in clinical trials. The aim of this study was to compare the presentation and outcomes of ST-elevation (STEMI) and non-ST-elevation myocardial infarction (NSTEMI) in patients older than 80 years.

methodsThis retrospective study included 14758 patients above 80 years of age hospitalized with STEMI or NSTEMI who were selected from the Polish Registry of Acute Coronary Syndromes using propensity score matching (two equal size groups).

resultsPatients with STEMI were more likely to undergo coronary angiography (87.80% vs. 77,03%) and revascularization (80.50% vs. 54.26%); in STEMI the culprit lesion was more likely to be located in left anterior descending artery (LAD) (31.76% vs. 44.43%) or right coronary artery (RCA) (18.41% vs. 35.29%), and NSTEMI more likely to be located in left main (4.59% vs. 1.76%) or other native artery (23.3% vs. 6.02%). Elderly patients with STEMI had higher all-cause mortality at 30-days (19.62% vs. 14.51%) and 1-year (32.00% vs. 29.54%). The difference was highly influenced by initial in-hospital mortality (17.96% vs. 12.48%). Among hospital survivors there was no difference in 30-days mortality and 1-year mortality was higher for NSTEMI hospital survivors (17.06% vs. 14.04%).

conclusionsIn patients older than 80 years of age with similar baseline characteristics, STEMI and NSTEMI had different presentation, outcomes and required different treatment strategy. ST-elevation patients had higher in-hospital mortality and NSTEMI patients had higher post-hospital mortality after 1 year.

Indexed as

Non-ST Elevated Myocardial InfarctionST Elevation Myocardial InfarctionAged, 80 and overAge FactorsCoronary AngiographyElectrocardiographyFemaleHospital MortalityHumansMalePercutaneous Coronary InterventionPolandRegistriesRetrospective StudiesRisk FactorsTime Factorsacute coronary syndromemortalitymyocardial infarctionNSTEMIoctogenariansoutcomesSTEMI

Identifiers

PMID40981748
PMCPMC13189628

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.