Gottlieb S O, Gerstenblith G
Cardiac Catheterization Laboratory, Francis Scott Key Medical Center, Johns Hopkins Medical Institutions, Baltimore, Maryland 21224.
Geriatrics. 1988 Apr;43(4):29-34.
The traditional approach to managing ischemic heart disease has been to reduce symptoms, eg, angina pectoris. However, recent studies demonstrate that myocardial ischemia often can be found in the absence of common symptoms, including in elderly patients. Since elderly patients may not complain about their symptoms, or may not get enough exercise to test their cardiovascular capabilities and, thus, bring out problems, the geriatrician needs to be highly suspicious of silent myocardial ischemia. A brief overview of diagnostic testing methods suitable for the elderly and medical and surgical management options is presented.
传统的缺血性心脏病治疗方法一直是减轻症状，如心绞痛。然而，最近的研究表明，心肌缺血往往在没有常见症状的情况下也能被发现，包括在老年患者中。由于老年患者可能不会诉说他们的症状，或者可能没有进行足够的运动来测试其心血管功能，从而引发问题，老年病医生需要高度怀疑无症状心肌缺血。本文简要概述了适用于老年人的诊断测试方法以及药物和手术治疗方案。
