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A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
18:11

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

Published on: December 28, 2012

[Chronic myocardial infarction. Clinical symptoms in elderly patients]

F Mitu1, Magda Mitu, M Turiceanu

  • 1Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi, Facultatea de Medicină, Clinica a VI-a Medicală.

Revista Medico-Chirurgicala a Societatii De Medici Si Naturalisti Din Iasi
|April 19, 2005
PubMed

Insights

Older adults with chronic myocardial infarction are more likely to be male and have a history of smoking and diabetes. These patients also exhibit a higher prevalence of regional contractility disturbances.

Area of Science:

  • Cardiology
  • Geriatrics
  • Internal Medicine

Background:

  • Coronary heart disease (CHD) is increasingly prevalent in older populations.
  • Chronic myocardial infarction (CMI) is a less common manifestation of CHD in the elderly compared to other forms.
  • Understanding the clinical profile of CMI in elderly patients is crucial for effective management.

Purpose of the Study:

  • To assess the clinical features of elderly patients (over 65) diagnosed with chronic myocardial infarction.
  • To compare the characteristics of patients with CMI to those with other forms of coronary heart disease in the same age group.

Main Methods:

  • A comparative study involving 29 patients with CMI (Group A) and 31 patients with other forms of CHD (Group B), all over 65 years old.
  • Analysis of cardiovascular risk factors, presenting symptoms, lipid profiles, and echocardiographic findings in both groups.

Main Results:

  • Group A (CMI) showed higher rates of smoking (p=0.007) and diabetes mellitus (p=0.001) compared to Group B.
  • Patients with CMI had a greater prevalence of atherosclerotic neurological and peripheral diseases (p=0.05 and p=0.01, respectively).
  • Regional contractility abnormalities were more frequent in Group A (p=0.005), despite similar ejection fractions between groups.

Conclusions:

  • Elderly patients with CMI are predominantly male and present with significant comorbidities including smoking, diabetes mellitus, and other atherosclerotic diseases.
  • Regional contractility disturbances are a more prevalent finding in older individuals with chronic myocardial infarction.
Abstract

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