Old atypical clinical manifestations of acute myocardial infarction.docVIP

 PAGE \* MERGEFORMAT 13 Old atypical clinical manifestations of acute myocardial infarction [Keywords:] elderly, atypical myocardial infarction, clinical manifestations Acute myocardial infarction is not uncommon, because of its dangerous condition, high mortality, has long been at work in the emergency department physician attention. Timely and correct diagnosis and effective treatment to reduce mortality and improve prognosis to crucial. typical of myocardial infarction in about 75% fat showed precordial, pressing or tightening retrosternal pain, palpitations, shortness of breath, and even has a sense of impending doom, and some pale, cold sweat, blood pressure, etc., combined with electrocardiogram and other tests, diagnosis is not difficult. as the population ages, the elderly with acute myocardial infarction (AMI) the incidence gradually increased, the most common disease for death. AMI of symptoms due to old age are atypical, atypical angina The incidence of type pain for 30.2%, asymptomatic is as high as 42%, while only 20% of typical angina-type. non-Q wave AMI and non-ST segment elevation AMI, the proportion increased, prone to delay treatment Missed and delayed diagnosis and to make infarct area expanded, the condition continues to deteriorate. In order to improve the basic old age is not typical of medical personnel in acute myocardial infarction diagnosis, is not typical of AMI, reduce misdiagnosis, mistreatment, misdiagnosis of the type now seen in the present are summarized below. An atypical clinical manifestations 1.1, abdominal pain, nausea, vomiting as the main performance Feng Xi Yue et al [1] reported 1 case of severe upper abdominal pain accompanied by nausea, vomiting 1 hour to the hospital, abdominal examination no tenderness, misdiagnosed as acute gastritis, pain relief after intramuscular injection of atropine 0.5mg, but patients appear pale, sweat, blood pressure dropped to 80/50mmHg, electrocardiogram (ECG confirmed in