Significance of atypical symptoms for the diagnosis and management of myocardial infarction in elderly patients admitted to emergency departments
| Autor: | Estelle Yachouh, Yves Courtial, Pierre Grosmaitre, Xavier Jacob, Sylvie Meyran, Olivier Le Vavasseur, Pierre Lantelme |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
Male
Time Factors Gastrointestinal Diseases Clinical presentation Myocardial Infarction Chest pain Electrocardiography Patient Admission Risk Factors Medicine Myocardial infarction Aged 80 and over medicine.diagnostic_test Service d’urgence Age Factors General Medicine Présentation clinique Treatment Outcome Predictive value of tests Female France Syndrome coronarien aigu avec sus-décalage du segment ST+ medicine.symptom Emergency Service Hospital Cardiology and Cardiovascular Medicine Sujet âgé medicine.medical_specialty Myocardial Reperfusion Acute coronary syndromes Syncope Angina Pectoris Time-to-Treatment Cardiovascular symptoms Predictive Value of Tests Humans Geriatric Assessment Aged Retrospective Studies business.industry Emergency department Delirium Retrospective cohort study medicine.disease ST-segment elevation myocardial infarction Elderly patients Dyspnea Emergency medicine Accidental Falls business Syndrome coronarien aigu |
| Zdroj: | Archives of Cardiovascular Diseases. (11):586-592 |
| ISSN: | 1875-2136 |
| DOI: | 10.1016/j.acvd.2013.04.010 |
| Popis: | SummaryBackgroundFew recent studies have examined the characteristics of ST-segment elevation myocardial infarction (STEMI) among elderly patients managed in emergency departments (EDs).AimsTo describe the clinical characteristics and management of elderly STEMI patients in EDs.MethodsThis retrospective, multicentre study involved STEMI patients aged ≥75years admitted to four different EDs in the city of Lyon between 2004 and 2008.ResultsAmong 255 patients, reasons for admission to the ED included chest pain (41.2%), faintness and/or fall (15.7%), dyspnoea (15.7%), digestive symptoms (9.8%), impaired general condition (6.7%) and delirium (5.0%). Compared with those who presented with chest pain, patients admitted for other reasons waited longer before going to the hospital (prehospital delay1hour: 36.0% vs 11.4%; P |
| Databáze: | OpenAIRE |
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