21 cases of elderly patients with acute myocardial infarction（21例老年急性心肌梗死患者）.docVIP

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21 cases of elderly patients with acute myocardial infarction（21例老年急性心肌梗死患者）.doc

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21 cases of elderly patients with acute myocardial infarction（21例老年急性心肌梗死患者）

21 cases of elderly patients with acute myocardial infarction Author: Zhao Yan, Kagehide velvet, Zhaozhi Ru Ma Jing [Keywords] myocardial infarction Keywords: older people; myocardial infarction 1 Clinical data 10 males, 11 females; aged 70 to 75 years old in 13 cases, 8 cases of 76 to 81 years old; six cases of hypertension, diabetes, pulmonary heart disease cases, old inferior wall infarction in 1 case .15 cases more typical symptoms of chest pain, but the extent and duration of chest pain is not the same in the remaining six cases painless myocardial infarction: two cases of sudden pale, sweating, low blood pressure, cardiogenic shock (1 case with frequent ventricular premature beats; patients with acute exacerbation of chronic bronchitis symptoms, chest tightness, shortness of breath, increased cough; 1 case of 80-year-old patients with stroke admitted to hospital with acute left ventricular failure; 2 cases of unexplained severe upper abdominal pain with nausea, vomiting and admission (one patient with mild diarrhea. ECG: 3 cases of extensive anterior infarction; five cases of anterior infarction; anteroseptal infarction in 3 cases (1 case with old inferior wall infarction; inferior wall infarction five cases; the high sidewalls infarction in 2 cases; posterior wall infarction patients (diagnosis is based on the above leads T R wave in V1, V2 lead higher and wider, R / Sgt; 1; said lead ST-segment depression; the wave tall; doing plus V7-V9 pathologic Q wave and ST-T changes; subendocardial infarction in 1 case (electrocardiogram showed lead ST segment except aVR outside each generally depressed, T wave two-way or upside down, similar myocardial ischemic changes; 1 cases only T wave changes from shallow to deep inverted in the hospital a few weeks, and then faded, combined with the clinical symptoms, serum enzyme sensitivity and high specificity of troponin I [1,2] detection can be confirmed. 24,48,72 h and 7d, CK-BM positive rate of 95.2%, 23.5%,