摘要
急性冠的症候群(交流) 是死亡在的领先的原因老。在这个年龄组的交流的怀疑和诊断是更困难的，自从典型咽峡炎是不太经常的。病态和死亡在介绍交流的老年病人是更大的。尽管有更高的流行和更大的风险，老病人在从证据，基于的建议被提出的主要临床的审判是未被充分代表的。作者描述，在这篇文章，在圣举起的诊断和管理的挑战心肌的梗塞在老，并且讨论可得到的证据。
Acute coronary syndromes （ACS） are the leading causes of death in the elderly. The suspicion and diagnosis of ACS in this age group is more difficult, since typical angina is less frequent. The morbidity and mortality is greater in older age patients presenting ACS. Despite the higher prevalence and greater risk, elderly patients are underrepresented in major clinical trials fi：om which evidence based recommendations are formulated. The authors describe, in this article, the challenges in the diagnosis and management of ST elevation myocardial infarction in the elderly, and discuss the available evidence.
