Ludwig G
Z Gerontol. 1985 Sep-Oct;18(5):298-301.
The atypical symptoms of coronary heart disease combined with an altered pain threshold and pain sensitivity in older patients make it difficult for the geriatrician to diagnose this disease. Clinical diagnostic methods cannot always be used in older patients. Therefore the physician must have a heightened awareness for unspecific symptoms which can signal coronary heart disease in the geriatric patient. In addition one must also use specific geriatric considerations in the management of angina pectoris.
冠心病的非典型症状，再加上老年患者疼痛阈值和疼痛敏感性的改变，使得老年病医生很难诊断这种疾病。临床诊断方法并非总能用于老年患者。因此，医生必须对可能提示老年患者患有冠心病的非特异性症状有更高的警觉性。此外，在心绞痛的治疗中还必须考虑老年人的特殊情况。
