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ORIGINAL ARTICLE
Year : 2016  |  Volume : 4  |  Issue : 3  |  Page : 96-99

Comparative evaluation of clinical profile, risk factors, and outcome of acute myocardial infarction in elderly and nonelderly patients


Department of Medicine, Cardiology, Indira Gandhi Government Medical College, Shimla, Himachal Pradesh, India

Correspondence Address:
Rajesh Kumar
Indira Gandhi Government Medical College, Shimla, Himachal Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2321-449x.190738

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Objective: To compare the clinical profile risk factors and in hospital outcome of acute myocardial infarction (AMI) in elderly patients (≥60 years) and nonelderly (<60 years) patients. Materials and Methods: This was a prospective observational cross-sectional analytical study which included all consecutive patients of AMI admitted to the Department of Medicine and Cardiology, Indira Gandhi Medical College, Shimla, Himachal Pradesh over a period of 1 year (June 2011 to June 2012). The patients were divided into two groups, Group I patients of <60 years and Group II patients of ≥60 years. The age more than 60 years is considered elderly as per Indian Council of Medical Research survey on Indian Geriatric population 2007. Results: Between June 2011 and June 2012, 206 patients were enrolled in the study. Total of 97 (47.1%) patients were of ≥60 years of age designated as elderly with a mean age of 69.28 ± 5.72 years, and 109 (52.9%) patients were nonelderly with a mean age of 50.54 ± 7.16 years. Family history of coronary artery disease (CAD) and dyslipidemia was significantly higher as a risk factor in nonelderly whereas other conventional risk factors of CAD were equally present in both groups. Atypical pain chest, non-ST segment elevation MI along with post-MI complications and in hospital mortality was significantly higher in the elderly age group of the study population. Conclusion: The profile of CAD differs in elderly as compared to young patients. This study highlighted that atypical presentation of AMI as well post-MI complications and mortality is more common in elderly patients as compared to nonelderly patients.


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