Coronary disease & ACSCohort study
Temporal Trends and Outcomes of Superelderly Patients Undergoing Coronary Intervention
- nationwide registry
Authors' conclusion
Our nationwide study demonstrated a consistent year-on-year increase in the age of patients undergoing PCI without reaching a plateau. Advanced age was strongly associated with poor outcomes, particularly in nonagenarians, reinforcing the need for shared decision-making in PCI in the oldest-old population.
Study context
- Population
- Patients undergoing percutaneous coronary intervention (PCI) in Japan between 2019 and 2024, with and without acute myocardial infarction (AMI)AMI 387,454 · non-AMI 1,067,486
- Participants
- 1,454,940 PCI procedures
- Exposure
- PCI across septuagenarians, octogenarians, and nonagenarians
Main finding
As reported in the abstract
Mean age of patients undergoing PCI · 2019 to 2024
Mean age increased from
71.0 to 72.1 years
Observational data: associations, not effects.
Further findings
Proportion of nonagenarians · 2019 and 2024
- AMI cohort, 2019
- 3.9%
- non-AMI cohort, 2019
- 1.7%
- AMI cohort, 2024
- 5.0%
- non-AMI cohort, 2024
- 2.4%
In-hospital mortality and complications
- Higher age categories associated with increased risks of in-hospital mortality and complications in both cohorts
Original publication
Temporal Trends and Outcomes of Superelderly Patients Undergoing Coronary Intervention. JACC Adv. Published 13 August 2026. doi:10.1016/j.jacadv.2026.103176
Summarised from the published abstract; every number is checked against it