Atypical Manifestation of Myocardial Ischemia in the Elderly
نویسندگان
چکیده
The absent or atypical clinical signs in elderly persons hinder the management of coronary atherosclerotic disease. The cases of myocardial ischemia without pain, the so-called asymptomatic or silent ischemia, it is more frequent in elderly patient2. Considering patients with acute coronary syndrome, as myocardial infarction with ST-segment elevation, among those under 65 years of age, only 11.1% do not have precordial pain, unlike those over 85 years old, among which 43.2% have precordial pain3. Similarly, among elderly patients with Q wave in electrocardiogram (ECG), 78% did not have symptoms of precordial pain4 (Figure 1).
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