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《CHINESE JOURNAL OF CERIATRICS》 1996-01
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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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【Co-citations】
Chinese Journal Full-text Database 10 Hits
1 SHI Ping,LIU Kezheng,GUO Xiaoling,MA Guozhen (The First Affiliated Hospital,Inner Mongolia University of Science and Technology,Baotou 014010,China);Influence of Thrombolytic Therapy on the Contents of Essential Trace Elements in Serum in Patients with Acute Myocardial Infarction[J];Journal of Baotou Medical College;2004-02
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4 Ma Jiaji,et al Department of Cardiology,Affiliated Hospital;A COMPARATIVE OBSERVATION OF ELECTROCARDIO-GRAPHIC CHANCES AND TWO DIMENSIONAL ULTRASOUND ECHOCARDIOGRAPHIC FINDINGS IN 6 CASES OF LEFT VENTRICULAR ANEURYSM[J];JOURNAL OF CHENGDE MEDICAL COLLEGE;1995-04
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7 李连旺,孙景堂;A Clinicopathological Analysis on 1373Cases of Cervical Lesions[J];Journal of Changzhi Medical College;1994-04
8 YE Xiao-hong,CHEN Wei-qiong,OU Hong-mei The People's Hospital Of Longchuan,517300 Longchuan Guangdong;The Discussion Of Implements Of The Gradual Health Education In Patient With Acute Myocardial Infarction[J];Today Nurse;2011-02
9 XU Li 1,2 , ZHAO Bao Zhen 1* (1. Department of Ultrasonics, Changhai Hospital,Second Military Medical University,Shanghai 200433, China; 2. Department of Ultrasonics, No.174 Hospital of PLA, Xiamen 361003);Quantitative evaluation of regional and global left ventricular systolic function before and after percutaneous transluminal coronary angioplasty by tissue Doppler imaging[J];Academic Journal of Second Military Medical University;2004-04
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China Proceedings of conference Full-text Database 1 Hits
1 Liu-hongxu Wang-shuoren Lei-yan Shang-juju On behalf of Beijing AMIs Treatment Survey Collaborative Study Group;Should strengthen investigation of the participation of Traditional Chinese medicine treatment in acute myocardial infarction[A];[C];2010
【Secondary References】
Chinese Journal Full-text Database 3 Hits
1 Liao Jixian∥Emergency Department,Guangxi Nanxishan Hospital, Guilin (541002);Clinical Observation and Nursing of Senile Acute Myocardiac Infarction[J];;1997-05
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