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© 1986 Oxford University Press

research-article

SYMPTOMS OF MYOCARDIAL INFARCTION IN OLD AGE: CLINICAL CASE, RETROSPECTIVE AND PROSPECTIVE STUDIES

MAREK WROBLEWSKI, Resident, PAWEL MIKULOWSKI, Physician-in-chief and BERTIL STEEN, Professor of Geriatric Medicine*

Department of Community Health Science, Lund University, Vamhem Hospital S-212 16 Malm{odot}, Sweden
Department of Pathology, Lund University, Vamhem Hospital S-212 16 Malm{odot}, Sweden
Department of Community Health Sciences, Lund University, Vamhem Hospital S-212 16 Malm{odot}, Sweden

*Address correspondence to Professor B. Steen.

In a clinical case study (n=71), a retrospective study (n=96), and a prospective study (n=60, 10 cases and 50 controls)—all of a duration of three years—prevalence and kind of symptoms of myocardial infarction in geriatric long-term care patients were studied. The findings suggest a low diagnostic accuracy of acute myocardial infarction in the elderly. The clinical features seem to be different compared to those of younger patients. Intense dyspnoea, syncope and weakness are more common than chest pain.

accepted in revised form November 1, 1985.


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