Department of Emergency Medicine, Northwest Medical Center, 2801 FL-7, Margate, FL 33063, USA. Electronic address: https://twitter.com/mike_mcgarry_.
Department of Emergency Medicine, University of North Carolina, 170 Manning Drive CB 7594, Chapel Hill, NC 27599, USA.
Emerg Med Clin North Am. 2021 May;39(2):339-346. doi: 10.1016/j.emc.2020.12.003. Epub 2021 Mar 11.
When older adults experience acute coronary syndrome (ACS), they often present with what are considered "atypical" symptoms. Because their symptoms less often match the expected presentation of ACS, older patients can have delayed time to assessment, to performance of an electrocardiogram, to diagnosis, and to definitive management. Unfortunately, it is this very group of patients who are at the highest risk for having ACS and for complications from ACS. This article aims to outline presentation, outcomes, and potential solutions of underrecognition of ACS in the older adult population.
当老年人出现急性冠状动脉综合征(ACS)时,他们通常表现出所谓的“非典型”症状。由于他们的症状与 ACS 的预期表现不太相符,因此老年患者可能会延迟评估、进行心电图检查、诊断和明确治疗。不幸的是,正是这群患者患 ACS 和 ACS 并发症的风险最高。本文旨在概述老年人 ACS 识别不足的表现、结局和潜在解决方案。