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目的:了解老年人心肌梗死的临床表现特点及并发症。方法对170例连续住院的急性心肌梗死(AMI)患者的病历资料按老年组(≥60岁)进行总结分析。结果老年女性中,AMI发生率为29.9%,明显增高(P<0.05),老年组无痛性心肌梗死明显增高(P<0.05),高血脂、束支传导阻滞、心衰、心脏破裂,死亡、发生率增高(P<0.05)。结论老年人心肌梗死呈现非典型性心绞痛或无痛,严重并发症多且死亡率高。
Objective: To understand the clinical features and complications of myocardial infarction in the elderly. Methods The data of medical records of 170 consecutive patients with acute myocardial infarction (AMI) were analyzed according to the age group (≥60 years old). Results The incidence of AMI was 29.9% in elderly women (P <0.05), while the incidence of AMI in elderly patients was significantly higher (P <0.05). Hyperlipidemia, bundle branch block, heart failure, heart rupture, Death, the incidence increased (P <0.05). Conclusion Elderly patients with myocardial infarction showed atypical angina or painless, severe complications and high mortality.