de Fockert J A
Ziekenhuis Joannes de Deo, afd. Geriatrie, Haarlem.
Tijdschr Gerontol Geriatr. 1987 Dec;18(6):305-8.
From the district Haarlem-Noord, 558 patients suffering from an acute myocardial infarction (AMI) were admitted in the years 1982 through 1985. Of these patients 62.9% was 65 years or older, 63.6% was male. The chance of getting an AMI was 8 times greater for the elderly than for younger people, which is in agreement with figures in the whole country. The most important feature--precordial pain--was less frequent in the elderly, i.e. 63.8% compared to 87% for younger people. However, the elderly suffered more from less specific symptoms as breathlessness, heartfailure, dizziness, syncope, neurological and psychiatric symptoms. The frequency of these symptoms varied from 4.5 to 30%. This is 2 to 5 times higher than for people younger than 65 years old. The mortality rate was 31% for people older than 65 years. This was significantly higher than the rate for younger patients (7.7%).
1982年至1985年期间，来自哈勒姆-诺德地区的558例急性心肌梗死（AMI）患者入院治疗。这些患者中，62.9%的患者年龄在65岁及以上，63.6%为男性。老年人患AMI的几率是年轻人的8倍，这与全国数据一致。最重要的症状——心前区疼痛——在老年人中出现的频率较低，即63.8%，而年轻人为87%。然而，老年人出现更多诸如呼吸急促、心力衰竭、头晕、晕厥、神经和精神症状等不太典型的症状。这些症状的出现频率在4.5%至30%之间。这比65岁以下人群高出2至5倍。65岁以上人群的死亡率为31%。这显著高于年轻患者的死亡率（7.7%）。
