DOI: 10.36347/sjams.2016.v04i04.062

Pages: 1433-1438

Coronary disease is leading cause of hospitalization and mortality in elderly patients. Although chest pain is the most common presentation in elderly patients; there are also atypical symptoms like dyspnoea, sweating, vomiting, and epigastric pain in these patients with different risk factors. The aim of this study was to study clinical profile , risk factors, complications, infarct type, management and outcome in patients 60 years or older (elderly) admitted with acute ST elevation myocardial infarction at a Government hospital in Gandhinagar, Gujarat, India. This is a retrospective study of all new elderly patients managed for acute ST elevation myocardial infarction in ICCU of GMERS Medical College and Hospital, Gandhinagar, Gujarat from January1, 2012 to December 31, 2013. Mean age was 66.68 yrs. with male to female ratio of 2:1. Most (68.3%) was from 60 to 70 years age group. Most common clinical feature was chest pain (69%). More (41.4%) were having atypical symptoms. Only (47.1%) elder patients arrived within golden period. Most common area of infarction was anterior wall & inferior (39.6%vs. 33.8%). Most common risk factor was hypertension (27.1%), smoking, diabetes & dyslipidemia with(25%vs.25.7% vs.14.3%) respectively. Most common complication was cardiogenic shock (36.6%), congestive cardiac failure (26.8%), and arrhythmias (24.4%). (61.9%) received thrombolytics. In hospital death was (16.5%). Acute ST elevation myocardial infarction is atypical in the elderly, with more complications and mortality.