老年人急性心肌梗塞72例临床分析

急性心肌梗塞是老年人常见的心脏急症，对血．液动力学影响大，并发症多，死亡率高。本文收集我院1984年至1992年12月60岁和60岁以上急性心肌梗塞72例进行分析．旨在进一步提高总结老年人急性心肌梗塞的特点。以提高早期诊断的认识。1·临床资料1．1性别与年龄本组72例中男60例女12例男女之比为5：l，6O岁37例，6O岁以上35例，最大年龄89岁。1．2发病诱因发病诱因中劳累ZO例（28％），精神激动6例（82／），呼吸道感染9例（12．5％）．饱餐5例问％）－m力解大便8例（11％），无明显诱因24例（33％），72例中起病时处于休息或安静状态者46…

A CLINICAL ANALYSIS OF 72 ELDER PATIENTS WITH ACUTE MYOCARDIAC INFARCTION

Acute myocardiac infarction (AMI ) is a disease of higher incidence among elder people in recent years.In order to improve early diagnosis as well as treatments,we summed up the regular patterns and features of a group of cases with this disease.From January 1983 to May 1992 we studied 72 elder patients (aged 60 or more)with AMI. The diagnosis was based on clinical manifestations, ECG and laboratoryfindings.The mortality rate was 12. 8%,whereas that of clinical improvement and cure was 87. 2% Patients who were aged more than 70 manifested as typical angina pectoris were fewer (11% ). whereas showed heart dysfunction and dyspnea were more (33. 3% ).Our patients could be divided into two groups according to with or without pain.Patiens with pain could be further classified into typical or atypical angina pectoris.The latter consited of (1) pain in the gastrointestinal tract. (2) pain in the epigastrium, and (3) pain in other parts of the body. Patients without pain usually had other symptoms such as (1) coughing and gasping, (2) feeling of oppression in the chest.(3 ) palpitation and dyspnea (Cardiac dysfunction ), (4 ) mental confusion and even coma, (5 ) shock, (6 ) arrhythmia, Most ofour Patients (51 5% ) belonged to no pain group.