Comparative Study of Clinical Profile of Acute Myocardial Infarction between Elder Age Groups and Nonelder (Younger) Age Group
Journal Title: Indian Journal of Emergency Medicine - Year 2017, Vol 3, Issue 1
Abstract
Introduction: Elderly patients were more likely to have non Q wave MI. The key issue for the elderly is that only few patients have symptoms and ECG findings that qualify them for thrombolytic therapy. This may be because of a reduced incidence of sudden plaque rupture or because of extensive collateral protection against transmural infarction.Cardiovascular complications including cardiogenic shock, atrial fibrillation and heart failure were common in elderly patients. Methodology:In this study 100 cases of acute myocardial infarction patients admitted in ICCU of above hospital studied during the period of 2013 to 2015. The cases are followed up upto the hospital stay 100 cases are divided into 2 groups, Group –I Elderly (60 years of age)-50 patients and Group – II Younger patients–( 60 years of age)-50 patients. Results: Elderly patients were predominantly presented with breathlessness 50% V/s 16%, giddiness 24% V/s 10%,syncope 10% V/s 2%,palpitations 16% V/s 6%,altered sensorium and pain abdomen when compared to younger patients. Conclusion:Although chest pain was the commonest presenting symptom in both age groups 60% of elderly group presented with atypical chest pain compared to 24% in younger group.Elderly patients were presented more atypicaly with the symptoms like breathlessness, giddiness, syncope, altered sensorium and pain abdomen with breathlessness being the predominant atypical symptom.
Authors and Affiliations
Anand Chavan
Keywords
Related Articles
- EP ID EP452103
- DOI 10.21088/ijem.2395.311X.3117.8
- Views 103
- Downloads 0
Management and outcome of Acute Kidney Injury at a Tertiary Care Hospital
Introduction: The most frequent causes of postrenal AKI in the elderly include benign prostatic hypertrophy (BPH) or prostate cancer, retroperitoneal adenopathy or malignancies, pelvic neoplasms, and neurogenic bladder....
Primary Hypothyroidism with Facial Paralysis: A Case Report
Objective: Neurological features like parasthesias and carpel tunnel syndrome is not uncommon in patients with hypothyroidism but facial palsy with hypothyroidism has scarcely been reported. Case report: 40 year old male...
A Case of Reiters Syndrome in a Young Patient Presenting to the ED
Introduction: In 1916, Hans Reiter described the classic triad of arthritis, nongonococcal urethritis, and conjunctivitis (Reiters syndrome) in a Prussian soldier with diarrhea, during the first world war. Reiter’s syndr...
A Study of Initial Assessment of Emergency Patients Using REMS Score and HOTEL Score
Aims: To assess the prognostic values and predicting in-hospital mortality of patients admitted to ED by Rapid Emergency Medicine Score (REMS) and Hypotension, oxygenation, temperature, ECG abnormality, loss of independe...
Right MCA Lacunar Infarct with Concomitant Right Ventricular Myocardial Infarction
Concomitant acute myocardial infarction and ischemic cerebrovascular accidents has been rarely reported in the literature. In this report, we are describing a 74 year old male patient previous diabetic and hypertensive w...