略述老年性心肌病

老年人心肌病的临床表现多样,临床上极易误诊为其他原因的心脏病,如冠心病、缺血性心肌病、高血压性心脏病、肺心病、糖尿病性心脏病等。本文结合老年人的生理特点对老年性心肌病临床意义进行分析,以达到早发现、早诊断、早治疗的目的。

曲美他嗪对老年性缺血性扩张型心肌病的疗效观察

目的观察在常规治疗的基础上加用曲美他嗪对改善老年性缺血性扩张型心肌病心力衰竭的疗效。方法将40例符合诊断标准的老年性缺血性扩张型心肌病的患者随机分为常规治疗组(对照组)和曲美他嗪治疗组(治疗组),两组疗程均为20周,比较两组治疗前后的临床疗效、心功能分级、LVEF值、心胸比等。结果曲美他嗪治疗组临床心功能分级明显改善,LVEF值显著提高,而血压、心率无影响。结论曲美他嗪治疗能明显改善老年性缺血性扩张型心肌病患者心功能。

Acute coronary syndrome in the older adults

Coronary heart disease remains the leading cause of death in the developed world. Advanced age is the single strongest risk factor for coronary artery disease （CAD） and independent predictor for poor outcomes following an acute coronary syndrome （ACS）. ACS refers to a spectrum of conditions compatible with acute myocardial ischemia and/or infarction due to various degrees of reduction in co- ronary blood flow as a result of plaque rupture/erosion and thrombosis formation or supply and demand mismatch.