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The clinical characteristics of patients with acute myocardial infrarction above & below 65 years old
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Abstract
The mean age of the males was 66.90 ± 13.58 (the youngest was 32, the oldest was 99); the mean age of the females was 74.04 ± 11.20 (the youngest was 32, the oldest was 97) (p<0.001). The male: female ratio in the 2 groups had a difference (in group <65 years old it was 4.23; in group ≥65 it was 1.6, p <0.001). Cardiovascular risks between the 2 groups compared: high blood pressure in group ≥65 years old was higher than in group <65 years old (75.16% compared to 52.87%, p<0.001), smoking rate in group <65 years old was higher than in group ≥65 years old (42.21% compared to 14.24%, p<0.001), overweight rate in group <65 years old was much higher than in group ≥65 years old (22.93% compared to 9.42%, p<0.001). The time from onset to hospitalization: <6 hours in group <65 years old of 55.8%, was higher than in group ≥65 years old of 36.9%. Conversely, the time from onset to hospitalization >6 hours in group ≥65 years old was higher than in group <65 years old, 63.1% compared to 44.2%, p<0.001.
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Keywords
clinical characteristic, acute myocardial infarction, elderly.
References
2. William B Applegate, Stanley Graves, et al (1984). Acute myocardial infarction in elderly patients. Southern Med Journal (77): p.1127-29.
3. Nguyễn Thị Hoàng Thanh, Nguyễn Thị Trúc (2003). Đặc điểm nhồi máu cơ tim cấp tại bệnh viện đa khoa Đồng Nai. Kỹ yếu tóm tắt báo cáo khoa học. Hội nghị khoa học Tim mạch khu vực phía nam lần thứ VI, tr.195-203.
4. Hoàng Nghĩa Đài (2002). Các biến chứng của nhồi máu cơ tim cấp ở người lớn tuổi. Luận văn Thạc sĩ Y học- Đại học Y dược TP. HCM, tr. 27-51.
5. Ralf Zahn, et al (2000). Acute myocardial infarction occurring in versus out of the hospital: patient characteristics and clinical outcome. J Am Coll Cardiol. 35(7): pp. 1820- 1826.
6. Holay MP, et al (2007). Clinical profile of acute myocardial infarction in elderly (prospective study). JAPI (55): pp. 188-192.
7. Roman Castello, Edurando Algeria, et al (1988). Effect of age on long-term prognosis of patients with myocardial infarction. International J of Cardiology (2): pp. 221-30.
8. Kannel WB (1976). Blood pressure and the development of cardio-vascular disease in the aged. Cardiology in the old age. Caird FI Dall JC, Kennedy RD. New York, Plenum press: p.164.
9. Tresch DD, Brady WJ, et al (1996). Comparison of elderly and younger patients with out of hospital chest pain. Clinical characteristics of AMI, therapy and outcomes. Arch Intern Med (156): pp. 1089-93.
10. Shi Wen Wang, Guo Chun Ren, Shu Fun, et al (1988). Acute myocardial infarction in elderly Chinese. Clinical analysis of 631 cases and comparison with 389 younger cases. Apanese Heart Journal: pp. 301-07.
11. Sydney C Smith, Elizabeth Gilpin, Staffan Annve, et al (1990). Outlook after acute myocardial infarction in the very elderly compared with that in patients aged 65 to 75 years. JACC (16): pp. 784-92.
12. Woon VC, Lim KH (2003). Acute MI in the elderly – the difference compared with the young. Singapore Med J; 44 (8): pp. 414-8.
13. Nguyễn Thiện Thành (2002). Những bệnh thường gặp ở người có tuổi. NXB Y học, tr. 171-195.
14. Yang XL, Williams JL, Pardaens J, Gest DE (1987). Acute myocardial infarction in very elderly. A Comparison with younger age group. Acta Cardiological; XLII: pp. 59-68.
15. Rott D, Behar S, Gottlieb S, et al (1997). Usefulness of the Killip classification for early risk stratification of patients with acute myocardial infarction in the 1990s compared with those treated in the 1980s. Israeli Thrombolytic Survey Group and the Secondary Prevention Reinfarction Israeli Nifedipine Trial (SPRINT) Study Group. Am J Cardiol (80): pp. 859-6.
16. Anna Polewczyk, Marianna Janion, et al (2008). Myocardial infarction in the elderly: clinical and therapeutic differences. Kardiol Pol (66): pp. 166–172.