Академический Документы
Профессиональный Документы
Культура Документы
Introduction
Data
Conclusion
Case Presentation
A 87 year old woman with HLD, MI, mild
cognitive decline, comes to the ER due to
AMS.
She is completely non-responsive, with
only automotic neurological findings.
Discussion
AMI is commonly under-recognized in the
elderly, especially when presenting atypically.
In recent years, greater attention has been
placed on atypical presentations of AMI,
namely those of women and diabetics. AMS
in the elderly, evidence suggests, needs to
be more commonly recognized as an
anginal equivalent of cardiac chest pain.
References
1. Rich, Michael, MD. Epidemiology, Clinical Features,
and Prognosis of Acute Myocardial Infarction in the
Elderly. AMERICAN JOURNAL OF GERIATRIC
CARDIOLOGY. (2006) 15:1.
2. Chung-Lieh Hung, et all. ATYPICAL CHEST PAIN
IN THE ELDERLY: PREVALENCE, POSSIBLE
MECHANISMS AND PROG NOSIS. International
Journal of Gerontology (March 2010). 4:1
3. Alexander, Karen P., MD; et all. Acute Coronary
Care in the Elderly, Part I NonST-Segment
Elevation Acute Coronary Syndromes. Circulation.
(2007) 115: 2549-2569.
4. Breall, Jeffrey. Overview of the acute management
of unstable angina and non-ST elevation myocardial
infarction. Uptodate.com.
5. Caren G. Solomon, MD, et all. Comparison of
Clinical Presentation of Acute Myocardial Infarction
in Patients Older Than 65 Years of Age to Younger
Patients: The Multicenter Chest Pain Study
Experience. AMERICAN JOURNAL OF
CARDIOLOGY VOLUME 63. Pg 773.
6. Ayman El-Menyar , et all. Atypical presentation of
acute coronary syndrome: A significant independent
predictor of in-hospital mortality. Journal of
Cardiology (2011) 57, 165171.