老年急性心肌梗死80例漏诊误诊分析

目的探讨急性心肌梗死临床误诊原因及预防措施。方法回顾性分析80例老年心肌梗死漏诊误诊临床资料。结果老年性。肌梗死，既往合并糖尿病者，脑血管意外和。功能不全者多见，接受再灌注治疗（静脉溶栓、PCI治疗）低，并多发症多，死亡率高．．老年性心肌梗死漏诊误诊原因：对高龄患者心肌梗死特点的认识不足；先入为主，思路狭窄，缺乏全面考虑，综合分析局限于本专业情况，忽视兼证。结论应提高老年心肌梗死的认识，争取早治疗，改善预后，

Stable ischemic heart disease in the older adults

1 Introduction Ischemic heart disease is caused by atherosclerotic and/or thrombotic obstruction of coronary arteries. Clinical spec- trum of ischemic heart disease expands from asymptomatic atherosclerosis of coronary arteries to acute coronary syn- dromes （ACS） including unstable angina, acute myocardial infarction （non-ST elevation myocardial infarction and ST elevation myocardial infarction）. Stable ischemic heart dis- ease （SIHD） refers to patients with known or suspected SIHD who have no recent or acute changes in their symp- tomatic status, suggesting no active thrombotic process is underway.