COMPARISON OF CLINICAL PRESENTATION IN OLDER AND YOUNGER PATIENTS WITH ACUTE MYOCARDIAL INFARCTION

Background: cardiovascular diseases are the most common causes of death. Studies show that the incidence of specific symptoms decreases with increasing age. The aim of this study is to identify Atypical symptoms of acute myocardial infarction. Method: In this cross-sectional study, patients admitted to the CCU in Tehran Amir Alam hospital were selected based on inclusion criteria during 2014 to 2016 and were classified according to age and symptoms of the disease; and information was classified and analyzed. Results: The rate of correlation between AMI symptoms and age had a significant difference value. Rate of Atypical symptoms among the elderly age group was 50.9%. The common Atypical symptoms in the elderly group were shortness of breath with a frequency of 24.1% and Atypical tachycardia with a frequency of 20.7%. Severe fatigue had a frequency of 17.2%, and cardiogenic shock was observed in 10.3% of the elderly people. Compared to other age groups, symptoms of yawning [3.4%] and cardiogenic shock [10.3%], hiccough in 6.9% of the elderly and severe fatigue [17.2%] were seen with the higher frequency in the elderly group compared to other age groups. Conclusion: According to the results of this study, there is significant difference between Typical and Atypical symptoms in AMI among different age groups; and the identification and paying attention to these symptoms in elderly patients improve the prognosis of treatment in. Older Patients-Keywords: Atypical symptoms - AMI – age