Clinical Profile of 150 Elderly Patients With Acute Myocardial Infarction

BACKGROUND longevity has increased in India and is further going to rise. The elderly are living with medical, social and psychological . Acute myocardial infarction in elderly often presents with atypical presentation and hence leads to delay in diagnosis increased mortality. The presence of multiple comorbidities adds to increased morbidity and low quality of life. Acute infarction is leading cause of death in elderly in India. AND METHODS study did a prospective analysis of 150 elderly patients (>60 years) irrespective of sex, admitted in cardiac care unit and having first episode of acute myocardial infarction. The associated comorbidities, type of myocardial infarction, levels and outcome is studied over a period of two years. study group had 150 elderly participants among whom, males were 60% and 75% were in young old (60-74 years) age . Atypical presentation was seen in 29% of participants and hyperlipidaemia was commonest comorbid condition noted 73%. The biochemical marker Troponin T was not very effective in making diagnosis of Acute Myocardial Infarction in . Anterior wall myocardial infarction was common in 37% while complication was noted in 17% of the study participants. overall mortality rate was 6%. myocardial infarction leads to increased morbidity in elderly. The atypical presentation leads to delay in diagnosis while of multiple comorbidities leads to poor outcome, both of which pose challenges for the clinicians. The presence of as comorbidity is emerging in elderly too. Arrhythmias as complication leads to increase in mortality. The holistic is need of hour to manage the person with multiple comorbidities.