STUDY OF CLINICAL PROFILE OF ACUTE MYOCARDIAL INFARCTION IN ELDERLY PATIENTS

Dr. N.Venkata Prasanthi; Dr. M.V. Nagabhushana

Volume : VIII, Issue : IX, September - 2019

STUDY OF CLINICAL PROFILE OF ACUTE MYOCARDIAL INFARCTION IN ELDERLY PATIENTS

Dr. N. Venkata Prasanthi, Dr. M. V. Nagabhushana

Abstract :

Background and Objective: Coronary heart disease is the leading cause of death among elderly patients. Although chest pain is the most common presentation of acute myocardial infarction (AMI) in elderly patients, they have also been reported to present with atypical symptoms such as giddiness, dyspnoea, vomiting, sweating and epigastric pain with out chest pain. The aim is to determine the differences in presentation, risk factors, short term complications and outcome in patients with the age of 60years or older. METHODS: This is a prospective study conducted in elderly patients admitted to Narayana medical college and hospital with the diagnosis of acute myocardial infarction during feaury 2018 to April 2019. Total of 50 elderly patients satisfying the criteria were included and their clinical profile was recorded. RESULTS : Among the fifty patients the majority of the patients are with the age of 60–69 years. Sixteen percent of the patients presented without chest pain. The patients presented with atypical symptoms included dyspnoea, giddiness, vomiting, sweating and epigastric pain. Mortality rate was 18%. CONCLUSION : This study showed that even though chest pain was the most common presentation in elderly AMI patients, they were also found to have atypical presentations like shortness of eath, giddiness, vomiting, sweating and epigastric pain. Knowledge of these atypical presentations will help us to consider an acute cardiac event when the elderly present atypically.