老年人急性心肌梗死的临床特点  

Clinical characteristics of aged patients with acute myocardial infarction

作　　者：李抒玮[1] 

机构地区：[1]广东省江门市中心医院急诊科,广东江门529070

出　　处：《右江医学》2011年第1期17-18,共2页Chinese Youjiang Medical Journal

摘　　要：目的研究老年人急性心肌梗死的临床特点。方法通过对43例60岁以上老年急性心肌梗死患者进行临床分析,并与随机抽取的43例60岁以下急性心肌梗死患者进行对比观察。结果老年组多数患者于发病前无明显诱因及典型的临床症状,梗死部位较广泛,非ST段抬高心肌梗死发生率、并发症、伴发症、病死率均较非老年组高(P<0.05)。结论老年人急性心肌梗死临床症状多不典型,因此要提高认识,早诊断,早治疗,以防止心肌梗死并发症或猝死的发生。Objective To study the clinical characteristics of acute myocardial infarction（AMI） in aged patients. Methods Patients older than 60 years and with AMI （n=43） were clinically analyzed and compared with the patients younger than 60 years old. Results Most of aged patients with AMI occurred without obvious cause or typical clinical symptoms, the infarction position was widely. The incidence of Non-ST elevation acute myocardial infarction and complications, concomitant disease and mortality in aged group were all higher（ P〈0.05）than those younger than 60 years old. Conclusion The symptoms of AMI are atypical in the aged. So we should improve cognition of AMI of the aged,diagnose and treat early to prevent complication of AMI or sudden death.

关 键 词：老年人 急性心肌梗死 不典型 

分 类 号：R542.22[医药卫生—心血管疾病]