Key result
Impaired mental score is linked to atypical MI presentations in patients over 75.
Why the study?
Atypical presentations of myocardial infarction are more common in the elderly, prompting examination of their relation to mental state.
Is an impaired mental score associated with atypical presentations of myocardial infarction in acute medical admissions aged over 75 years?
Cohort (n=53)
Is an impaired mental score associated with atypical presentations of myocardial infarction in acute medical admissions aged over 75 years?
In patients over 75 years old admitted with myocardial infarction, impaired mental state is strongly associated with atypical clinical presentation.
Answers are grounded in this paper and cite their sources.
May prompt cognitive screening in atypical elderly presentations; leaves open causality and need for prospective validation.
Atypical presentations of myocardial infarction are more common in the elderly. Fifty-three cases of myocardial infarction were found by prospectively screening all acute medical admissions aged over 75 years. The presenting symptom was compared with an assessment of mental state using a simple scoring system. Atypical presentations were found to be significantly (P = less than 0.001) associated with an impaired mental score.
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A 1987 study conducted a cohort in Myocardial infarction (n=53). Impaired mental score (mental state assessment using a simple scoring system) vs. Normal/unimpaired mental score was evaluated on Atypical presentation of myocardial infarction (p=<0.001). An impaired mental score was significantly associated with atypical presentations of myocardial infarction in patients aged over 75 years (P<0.001).
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