Infarto agudo al miocardio en el adulto mayor: Características clínicas, evolución hospitalaria y a 5 años plazo / Features of acute myocardial infarction among aged patients
Rev. méd. Chile
; 141(11): 1402-1410, nov. 2013. graf, tab
Article
in Spanish
| LILACS
| ID: lil-704567
Responsible library:
CL1.1
ABSTRACT
Background:
Among aged patients, acute myocardial infarction has more complications and there is a tendency to underuse proven treatments.Aim:
To report the features of acute myocardial infarction among aged patients. Material andMethods:
Analysis of a registry of patients with acute myocardial infarction admitted to a coronary unit. For the purposes of analysis, patients aged 65 years or more were selected. Follow up was made consulting medical records, calling patients by telephone or consulting death records at the National Identification Service.Results:
A total of 1.358 patients were admitted in the study period with a diagnosis of acute myocardial infarction and 580 (43%) were aged 65years or more. On admission, this age group had a higher frequency of hemodynamic instability and anterior wall infarctions. Reperfusion therapy and beta blockers were used less commonly in this group. Hospital mortality among patients younger or older than 65 year was 8 and 25%, respectively (p < 0.01). Among aged patients, five years mortality was 33%.Conclusions:
Among aged patients, acute myocardial infarction has a higher risk profile on admission, is usually undertreated and has higher mortality than younger subjects.
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Hospital Mortality
/
Myocardial Infarction
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Aged
/
Aged, 80 and over
/
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Chile
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2013
Document type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Universidad de Chile/CL