CHANGING PRESENTATION OF MYOCARDIAL-INFARCTION WITH INCREASING OLD-AGE
CHANGING PRESENTATION OF MYOCARDIAL-INFARCTION WITH INCREASING OLD-AGE
复制标题
DOI：
10.1111/j.1532-5415.1986.tb04221.x
复制
发表时间：
1986-04-01
影响因子：
6.3
通讯作者：
PATHY, MSJ
中科院分区：
文献类型：
--
作者：
BAYER, AJ;CHADHA, JS;PATHY, MSJ
对777例老年住院患者的急性心肌梗死相关症状进行了回顾。他们的年龄在65岁到100岁之间，平均76.0岁。症状表现谱随年龄增长而显著变化。胸痛或胸部不适的报告频率较低，尽管在85岁以下的大多数患者中存在。晕厥、中风和急性意识混乱变得更为常见，且常常是唯一的症状表现。呼吸困难虽然是无胸痛时最常报告的症状，但在所有年龄段同样常见。因此，在85岁及以上的患者中，心肌梗死的“非典型”表现成为常态，临床医生必须准备好在大多数急性病患者中进行诊断筛查。
The symptoms associated with acute myocardial infarction in a series of 777 elderly hospitilized patients are reviewed. Their ages ranged from 65 to 100, with a mean of 76.0 years. The spectrum of presentation changed significantly with increasing age. Chest pain or discomfort were less frequently reported, although present in the majority of patients up to 85 years. Syncope, stroke, and acute confusion became more common and were often the sole presenting symptom. Shortness of breath, although the most frequently reported symptom in the absence of chest pain, was equally common at all ages. Thus, in patients aged 85 years or over, "atypical" presentation of myocardial infarction became the rule, and in the very old the clinician must be prepared to screen for the diagnosis in most acutely ill patients.