[Heart infarction in persons over 70. Epidemiologic studies of the clinical course].
1158 patients with acute myocardial infarction hospitalized in 6 clinics at Hamburg were analyzed retrospectively with special regard to older patients. 46% of all patients were older than 70 years. In contrast to former investigations the rate of myocardial infarction of women over 70 is arised. The reason of admission was reinfarction in 39%. The most frequent risk factors were hypertension and diabetes mellitus; but hypertension is not more frequent than in this age-group of the whole population. A so-called "silent" myocardial infarction occurred in 10-15% of patients over 70 years. The clinical course of acute myocardial infarction was injured by hemodynamic complications in 66%. Ventricular fibrillation was more frequent in younger than in older patients. The reanimation of older patients was successful in 25% primary, but the inhospital mortality was unchanged high (50%). In contrast to younger patients 40% of cases of death occurred after the acute phase in the 2.-4. week of hospital treatment.
D000367:Age Factors; D000368:Aged; D003422:Critical Care; D005260:Female; D005860:Germany, West; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000453:epidemiology* / Q000401:mortality / Q000628:therapy; D012306:Risk; D012737:Sex Factors
Herzinfarkt bei über 70jährigen. Epidemiologische Untersuchung zum klinischen Verlauf.