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老年人(60岁以上)急性心肌梗塞(AMI),由于症状不典型,并发症、夹杂病多,临床易被忽视。老年人AMI病死率高,如能做到早期诊断,及时妥善的治疗,是降低病死率的关键。下面就我们的体会,谈谈老年AMI的临床特点及治疗的特殊性。一、首发症状不典型 (一)无痛性心肌梗塞多见:AMI96％左右以心绞痛起病,无痛性心肌梗塞仅占5～10％。老年人AMI无痛性多,据国内外报道可有20～80％,这可能与选择的年龄组不同有关。无心绞痛的原因,是由于老年人对疼痛的敏感性降低,或病程发展缓慢,冠状动脉粥样硬化性狭窄逐渐发生,侧枝循环逐渐形成已较
The elderly (60 years of age) acute myocardial infarction (AMI), due to atypical symptoms, complications, miscellaneous diseases, clinical easily overlooked. Elderly AMI high mortality, if you can do early diagnosis, timely and proper treatment, is the key to reducing mortality. Here’s our experience, to talk about the clinical features of elderly AMI and the special treatment. First, the first symptom of atypical (a) more common painless myocardial infarction: AMI about 96% onset of angina pectoris, painless myocardial infarction accounts for only 5 to 10%. AMI painless elderly, according to reports at home and abroad may have 20 to 80%, which may be related to the age group of choice. Angina pectoris is due to the elderly to reduce the sensitivity to pain, or the slow course of development, coronary atherosclerosis gradually occur, the collateral circulation has gradually become more