A Study on Management and outcome of Acute Myocardial Infarction
Journal Title: Indian Journal of Emergency Medicine - Year 2017, Vol 3, Issue 1
Abstract
Introduction:Heart disease is the leading cause of hospitalization and death in elderly patients.The elderly with acute myocardial infarction (AMI) have been reported to present with more atypical symptoms such as acute confusion,syncope,atypical chest pain,vomiting and weakness.The role of convention cardiovascular risk factors in older persons is incompletely understood because only fragmentary and inadequate data are available in most instances. Methodology: Data of 50 pts of elderly pts and 50 pts of younger patients who fulfilling the inclusion and exclusion criteria were collected.Their clinical profile including History,risk factors, past illness detailed physical examination, investigation findings and the complications these patients developed in the hospital were recorded in the pretested proforma and the results were analysed and the differences were compared Results: 64% of elderly patients had complications but in younger patients only 32% had one or the other complications. 6% V/s 10% patients among elderly patients having LVF, 12% V/s 10% cardiogenic shock in elderly, 20% V/s 8% patients had arrhythmias in elderly group compared to younger patients. 68% of younger patients had no complications. Conclusion: The incidence of major complications like, cardiogenic shock, arrhythmias were significantly higher in elderly AMI patients (12%, 20%) compared to (10%, 8%) respectively in younger patients
Authors and Affiliations
Chandru Lamani
Keywords
Related Articles
- EP ID EP453127
- DOI 10.21088/ijem.2395.311X.3117.17
- Views 116
- Downloads 0
Rare Presentation of a Traumatic B/L Carotid and Vertebral Arteries Dissection; Diagnostic Challenges in Emergency Department
A 46 years old previously healthy female was brought to emergency department (ED) with alleged history of road traffic accident (RTA) while driving a car one hours back. She was initially assymptomatic for about one hour...
A Rare Presentation of Delusion of Pregnancy and it’s Response to Modified Electroconvulsive Therapy
Delusion of pregnancy is a special form of hypochondriacal / somatic delusion. High potency antipsychotics such as pimozide are indicated in the treatment of delusional disorder. However, the use of Modified Electroconvu...
Acute Myocardial Infarction Presenting with Atypical Symptoms
Introduction: Chest pain is the most common key presentation of acute coronary syndrome presenting to Emergency department. But few patients may present with atypical symptoms and pose a great challenge to the Emergency...
Clinical Profile of Patients with Acute Renal Failure Admitted to Tertiary Care Hospital
Mortality rates for AKI have changed little since the advent of dialysis and have remained at 50%. This curious statistic simply reflects the changing demographics of AKI from community – to hospital – acquired settings....
Complicated Femur Fracture with Acute Respiratory Distress Syndrome Secondary to Fat Embolism Syndrome
Fat embolism (FE) is defined as a blockage of vasculature by fat globules that originate either from bone marrow or adipose tissue. It mainly affects the lungs, but can also affect the skin, retina, and central nervous s...