The age-myocardial infarction presenting

Age-myocardial infarction often the first symptom is not typical, clinical often appear in the following several forms: (1) painless myocardial infarction type: This is an important feature of the elderly myocardial infarction. Reported the elderly at home and abroad painless myocardial infarction about 15% -75%. Real pain to be with the following criteria: ① no typical chest pain, including pain, pain, Duntong, burning, Mentong, such as any form of chest pain; ② without his left arm and left shoulder pain; ③ no back pain; ④ except awareness Loss, hemiplegia, serious complications caused by the sudden consciousness trance and can not tell symptoms. According to the above criteria, 80-year-old high proportion of the above, it is reported less than 60 years of 10.25 percent ,60-79-year-old to 25.11 percent, more than 80 years of age to 50%. (2) of heart failure: the elderly at home and abroad reports of acute myocardial infarction performance for the first symptom of heart failure, accounting for 20% -74%, and foreign scholars check 370 cases over the age of 75 patients, found that heart failure patients 48% A myocardial infarction. Therefore, when the older persons of unknown causes sudden difficulty in breathing, chest tightness, wheezing, palpitation, pulmonary edema, or should consider the possibility of lung congestion, except to note the existence of acute myocardial infarction. (3) gastrointestinal type: for the performance of nausea, vomiting, abdominal pain, even when the physical examination can have epigastric abdominal tenderness and tension, and so on. When sober awareness of the elderly, not used morphine, meperidine, and other analgesic agents and the past never gastrointestinal disease suddenly appeared above gastrointestinal symptoms, they should think of the possibility of myocardial infarction, or even the individual under the abdominal pain associated with abdominal distention , Diarrhea, and should not lose vigilance. (4) cerebral circulation of obstacles: the sudden appearance consciousness unclear, loss of consciousness in the elderly is not uncommon, symptoms can be shown to all the third. Therefore, the spirit of awareness of the elderly appear to be obstacles except for acute myocardial infarction. (5) of ectopic pain: 80-year-old in the following patients, the pain is still the age-myocardial infarction production to performance, with the exception of part of the performance of chest pain, there is some sore throat, toothache, neck pain, back pain As the first symptom.