International Journal of Medicine Research

International Journal of Medicine Research


International Journal of Medicine Research
International Journal of Medicine Research
Vol. 6, Issue 3 (2021)

Clinical profile of acute myocardial infarction in elderly patients: A retrospective analysis


Himanshu Dhiman, Akhil Katna

Background and Aim: The aim of study was to determine the difference in clinical profile and outcome of elderly and young patients with acute myocardial infarction (AMI). Materials and method: The tertiary care center retrospective observational study included 613 consecutive patients with AMI admitted in the ICCU, in a tertiary care center in North India. There were 328 elderly patients. Results: Proportion of female sex was significantly higher in elderly patients (33.5% vs. 20.4%; P<0.0001). Time to reach first medical contact and ACS centre after onset of symptoms was significantly higher among elderly patients (P=0.005 and P=0.004). Elderly patients had significantly higher creatinine levels in comparison to younger patients (P<0.0001). Among elderly patients, incidence of diabetes, hypertension, and chronic kidney disease (CKD) was 16.1%, 21.7%, and 4.3% respectively. Incidence of diabetes, hypertension, and chronic kidney disease was not significantly different with younger patients (P>0.05). Our study observed that incidence of mortality among elderly and younger patients was 18% and 5.6% respectively. Incidence of mortality was significantly higher among elderly patients (P<0.0001). Conclusion: We conclude that the manifestations of AMI are more subtle in the elderly, with different risk factors.
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How to cite this article:
Himanshu Dhiman, Akhil Katna. Clinical profile of acute myocardial infarction in elderly patients: A retrospective analysis. International Journal of Medicine Research, Volume 6, Issue 3, 2021, Pages 27-29
International Journal of Medicine Research