摘要
目的 :研究 75岁以上老年人急性心肌梗死 ( AMI)的临床特点。方法 :对 63例 75岁以上老年 AMI进行临床分析 ,并与同期 161例 60～ 74岁和 176例 60岁以下 AMI患者进行对比。结果 :75岁以上老年女性 AMI患者明显增多 ,无痛性 AMI多 ( 34.9% ) ,血流动力学受损的体征和并发症、泵衰竭引起的室上性心律失常和房室传导阻滞以及死亡率均比其他两年龄组多见 ,而梗死范围、死亡原因三组间无明显差异。结论 :75岁以上老年无痛性 AMI多见 ,病情严重程度高 ,并发症发生率高 ,死亡率高 ,而性别对
Objective:To explore the clinical characteristics of acute myocardial infarction (AMI) of older patients over 75 years.Method:The clinical features of 63 cases of older AMI patients over 75 years were studied and compared with the other AMI patients in the same course,161 of them were 60～74 years old and 176 were younger than 60.Result:The number of the female and the painless myocardial infarction ( 34.9 %) patients were more in the older people over 75.The cases with symptom of blood dynamics damage,complication,supraventricular arrhythmias and atrioventricular block caused by pump failure and the mortality of the senile patients were all more than that of the other two groups,but the infarct size and the causes of death showed no difference in the three groups.Conclusion:The incidence,complication rate and mortality of painless AMI were higher in the older patients over 75,but the occurrence and the prognosis of AMI were not obviously affected by sex.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
1999年第2期65-67,共3页
Journal of Clinical Cardiology
关键词
老年人
急性
心肌梗塞
临床特点
Older patient Acute myocardial infarction Clinical feature
