Clinical characteristics of acute myocardial infarction in elderly patients
HU Li-hua
HU Tao-hong
DING Li-ping
GAO Guo-jie
LIU Sheng-lin
Abstract：Objective To analyze the characteristics of clinical and coronary angiographic features in elderly patients with acute myocardial infarction(AMI).Methods Fifty-eight patients aged≥75 years with acute myocardial infarction admitted to our hospital from 2006 to 2009 were analyzed retrospectively.Gensini score was used to evaluate the pathological change degree of coronary artery in the elderly patients with AMI.Results Hypertension,as the most common co-morbidity,accounted for 69.0％ (40 cases) of all patients.Dyslipidemia was 63.8％ (37 cases) and diabetes was 29.3 ％ ( 17 cases).62.2％ (23 cases) of patients with dyslipidemia had lower high density lipoprotein cholesterol(HDLC).6 cases of myocardial infarction manifested with non ST-elevation myocardial infarction(NSTEMI).52 cases( 89.7％ ) showed ST-elevation myocardial infarction(STEMI).Regarding the number of vessels involved,double-vessel disease( 30 cases,51.7％ ) was the highest,the triple-vessel disease (25 cases,43.1％ ) was in the middle and single-vessel disease (3 cases,5.2％ )was the lowest.The mean of Gensini score was 86.32 ±44.91.Conclusions Hypertension,hyperlipoidemia and diabetes are the common risk factors for coronary heart disease in the senile.The rate of multi-vessel disease is comparatively higher in patients aged more than 75 years with AMI and the pathological change degree of coronary artery is serious.
Keywords：ElderlyAcute myocardial infarctionCoronary angiography
Publication Date：2012-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)