RESUMO
Background: Acute myocardial infarction [AMI] is one of the most deadly disease of the cardiovascular origen. Older patients are more likely to have a "silent" or unrecognized AMI and to develop heart failure, atrial fibrillation, cardiac rupture, and shock, all of which are associated with increased mortality and a poor prognosis
Objective: To determine the frequency of in-hospital outcome of octogenarians with acute ST segment elevation Myocardial infarction
Methodology: This cross sectional study was conducted at department of Cardiology, Chaudhary Pervaiz Elahi Institute of Cardiology, Multan from 25[th] October 2014 to 25[th] April 2015. 140 octogenarian patients of acute myocardial infarction were included in the study and clinically followed during hospital stay. The outcome variables included were mortatilty, cardiogenic shock, post MI angina and arrhythemia. SPSS version 20 was used for data entry and analysis
Results: Mortality was observed in 12 [8.6%] of our study cases, cardiogenic shock was noted in 47 [33.6%], post MI angina was noted in 45 [32.1%] and arrhythmia was noted in 53 [37.9%] of our study subjects
Conclusion: High frequencies of arrhythmia, cardiogenic shock and post MI angina have been noted in elderly patients in our study