冠心病急性心肌梗塞的典型临床表现严重 ,易于诊断并及时得到治疗。无痛性无症状的急性心肌梗塞 ,一般梗塞面积局限 ,如无并发症 ,多数可自行恢复 ,心电图检查时常发现陈旧性心肌梗塞。而单纯以消化道症状为表现的急性心肌梗塞较少见报道 ,特别是发生在高龄老年人 ,极易造成误? Typical clinical manifestations of acute myocardial infarction of coronary heart disease are serious, easy to diagnose and timely treatment. Painless asymptomatic acute myocardial infarction, the general infarct size limitations, such as no complications, most can be self-healing, ECG often found in old myocardial infarction. Acute myocardial infarction, which is characterized by gastrointestinal symptoms, is rarely reported, especially when it occurs in elderly people.