Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles

Open Access


IJHSR. 2014; 4(10): 34-42

A Comparative Study of Clinical Profile of Acute St Elevation Myocardial Infarction in Young and Old Patients from Gandhinagar, Gujarat.

Chirayu Vijaykumar Vaidya, Drusty Krishnasevak Majmudar.

Background: Heart disease is leading cause of hospitalization and mortality in elderly patients. Presentation is atypical in these patients and risk factors pattern differs. The aim of this study was comparison of clinical profile , risk factors, complications, infarct type, management and outcome in patients 60 years or older (elderly) with acute ST elevation myocardial infarction compared with those younger than 60years (young) at a Government hospital in Gandhinagar.
Methods: This is a retrospective study of all new patients managed for acute ST elevation myocardial infarction in ICCU of GMERS Medical College and Hospital, Gandhinagar, Gujarat from January1, 2012 to December 31, 2013.
Results: Male to female ratio was 5:1 and 1.9:1 in young and elderly respectively. Most common clinical feature was chest pain i (98.6% in young vs.92.5% in elderly), with more atypical symptoms like breathlessness (15%) in elderly. Most young patients (56.7% vs. 32.5%) reached hospital within 6 hours of symptoms onset. In both groups most common areas of infarction were anterior (52.9% youngvs.50% old). Most common risk factors were (smoking (47.4%) in young vs. hypertension (51%) in elderly), Congestive cardiac failure was most common complication in elderly (64.5% vs.51.2%). Most young were thrombolysed (85.2% vs. 65%) as compared to old. High in hospital mortality in elderly (22.5% vs.11.5%) than young patients.
Conclusion: Acute ST elevation myocardial infarction is more subtle in the elderly, with high complications and mortality.

Key words: Elderly, acute ST elevation myocardial infarction, atypical Breathlessness

Share this Article

Journal of Interdisciplinary Histopathology


ScopeMed Home
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About ScopeMed
License Information
Terms & Conditions
Privacy Policy
Suggest a Journal
Publisher Login
Contact Us

The articles in Scopemed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.
Scopemed Buttons