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Myocardial infarction found in health check-up for the aged

Wang Ruiping;Qian Yijian and Chen Manli.(Beijing Hospital,Beijing 100730)  
Objective The diagnostic accuracy for myocardial infarction(MI) in the aged is low due to atypical manifestation.As MI may be causually found during health check-up in the aged,it is essential to know the incidence of such an occurrence.Methods The data of 5 208 times of health check-up for the aged in a period of 10 years in Beijing Hospital were reviewed and the incidence,clinical manifestation and outcome studied.Results MI was found 10 times in 9 patients,accounting for 0.2% of the 5 208 times.Seven aged subjects were found to have acute MI and hosprtalized.Old MI was found 3 times with 2 in the same patient at different check-up.The 7 acute cases accounted for 8.3% of the acute MI admitted in the same period.The average age at the time of discovery of MI was 74.44±6.6 years.Six patients had hypertension and 5 had diabetes mellitus as well as hyperlipidemia.Six had no history of precordial pain or pain elsewhere. They were followed for 3-10 years;six of them had reinfarction for one to 3 times and 5 died with 2 of sudden death and one of pump failure as a result of another attack of MI.Conclusion It is shown that the specific clinical features of MI found during health check-up are advanced age of the.patient,absence of pain,good recent prognosis,high reinfarction rate and poor remote outcome.However,such cases of MI might not be discovered if regular health check-up were not carried out.
【CateGory Index】: R542.220.5
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