高龄老年急性心肌梗死患者102例临床分析

目的 探讨老年急性心肌梗死（AMI）的临床特点。方法回顾性分析2007年-2008年收住院治疗的102例高龄老年急性心肌梗死患者的临床资料。结果患者合并高血压病百分率最高（78．2％），其次是脑血管病和糖尿病（65．7％和45．1％）。总胆固醇（TC）水平达标者占54．1％，低密度脂蛋白胆固醇（LDL—C）达标者占27％，仅有56．8％的患者应用抗血小板药，他汀类调脂药最少。AMI患者发病时，有81例表现为非ST段抬高型，21例表现为ST段抬高，所有的患者肌钙蛋白Ⅰ（WnⅠ）值均高于正常水平。结论高血压病是高龄老年冠心病患者最常见的高危因素，其预防措施达标率低，应该加强。

Acute myocardial infarction in patients aged more than 80 years (A report of 102 cases)

Objective To analyzes the clinical feature of acute myocardial infarction in the elderly. Methods 102 patients aged 80 years with acute myocardial infarction, admitted to our hospital from 2007 to 2008, were analyzed retrospectively. Results Hypertension, the most in co ＂morbidity, accounted for 78.8% of the myocardial infarction; the cerebrovascular disease for 65.7%, the diabetes for 45.1%. The serum lipid levels reached the target level in 54.1% of patients for total cholesterol （ TC）, 27 % of patients for low density lipoprotein cholesterol （ LDL - C）. Only 56.8% of the patients were being treated with anti - platelet agents, the few treated with statins. Eightyone cases of myocardial infarction manifested with non ST- elevation myocardial infarction; 21 cases with ST - elevation myocardial infarction. The levels of serum TnI in all the patients were above the normal. Conclusion Hypertension is the most common risk factors for coronary heart disease in the senile. The preventive therapy was not enough, and the prevention should be strengthened.