Acute XXXX in the elderly--the differences compared with the young.

@entity1 @entity662 @entity712 @entity1353 @entity583 @entity1455
OBJECTIVES: The aim of the study was to determine the differences in presentation, complications, management and outcome of elderly @entity1 with @entity583 ( @entity583 ) compared to young @entity1 . MATERIALS AND METHODS: All case-notes with a discharge or death diagnosis ofAMI between January and July 1999 at a restructured hospital in Singapore were reviewed retropectively. @entity1 were categorised into those younger than 65 years (young) and those 65 years or older (elderly). Data on the demographic and clinical profile of @entity1 were collected. RESULTS: There were 112 young and 101 elderly @entity583 @entity1 . @entity662 was the most common presentation in both age groups, but more likely in the young than the elderly (89.3% vs 66.3%; p < 0.001). Atypical presentations were more likely in the elderly, with @entity1353 as the most common presentation (20.8% vs 5.4%; p < 0.001). The elderly were more likely to have complications of @entity712 (65.3% vs 25%; p < 0.001) and @entity1455 (8.9% vs 0.9%; p = 0.006). The elderly were less likely to receive thrombolytic therapy (35.8% vs 64.8%; p < 0.001) as they were more likely to have contraindications (34.5% vs 6.8%; p = 0.002). The elderly were also less likely to receive beta-blockers (21.8% vs 60.7%; p < 0.001). In-hospital mortality was higher in the elderly (20.8% vs 2.7%; p < 0.001). @entity1455 complicating @entity583 was associated with high in-hospital mortality. CONCLUSION: In @entity583 @entity1 , @entity662 was the most common presentation in both age groups, though less frequently in the elderly. Atypical presentations were more likely in the elderly, with @entity1353 as the most common atypical presentation. In elderly @entity583 @entity1 , prevalence of @entity712 was higher, use of beta-blockers was lower and in-hospital mortality was higher than young @entity1 .
