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A study conducted by investigators from Mayo Clinic in Rochester, Minnesota examined the management and outcomes of patients aged 90 years and above with acute coronary syndrome (ACS) in the cardiac intensive care unit (CICU). The study included 239 patients with a median age of 92 years. The researchers evaluated three therapeutic approaches: no coronary angiography (CAG), CAG without percutaneous coronary intervention (PCI), and CAG with PCI. The study found that in-hospital mortality and one-year mortality did not differ significantly between the three groups. The researchers concluded that careful patient selection for invasive coronary procedures is crucial in this vulnerable population. [Extracted from the article]

A recent study conducted at the Mayo Clinic in Rochester, Minnesota examined the relationship between acute coronary occlusion (ACO) and percutaneous coronary intervention (PCI) in patients who experienced out-of-hospital cardiac arrest (OHCA). The study found that early coronary angiography (CAG) was recommended for selected patients following OHCA. The researchers discovered that ACO was present in 42% of the patients, and successful PCI was associated with a lower risk of 30-day mortality. However, neither ACO nor successful PCI were independently associated with a good neurological outcome. This research provides valuable insights into the treatment and outcomes of OHCA patients with ACO. [Extracted from the article]