The independent impact of dementia in patients undergoing percutaneous coronary intervention for acute myocardial infarction

Background Although age and frailty are associated with worse prognoses for patients who undergo percutaneous coronary intervention (PCI), little is known regarding the independent impact of dementia. Hypothesis The aim of this study was to evaluate the association between dementia and outcomes for patients with acute myocardial infarction (AMI). Methods Consecutive patients with ST‐elevation or non‐ST elevation MI who had undergone PCI as part of our AMI registry were included in this study. We compared outcomes within the 1‐year period of their PCI, including death and major adverse cardiac events (MACE) and corrected for confounders using Cox regression. Results Of 28 274 patients, 9167 patients who had undergone PCI for AMI were included in this study, 250 with dementia; Mean age (77.4 ± 9.4 in the dementia group vs. 63.6 ± 12.7 in the control), female gender (32.4 vs. 24.2%, p = .003), diabetes mellitus (54.0 vs. 42.4%, p